Individual
LINDSEY MARIE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1316 W DRAGOON TRL, MISHAWAKA, IN 46544-4713
(574) 314-4655
Mailing address
1316 W DRAGOON TRL, MISHAWAKA, IN 46544-4713
(574) 314-0843
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-38120
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
02/14/2018
Last updated
10/07/2019
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