Individual
JESSICA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10400 NE 4TH ST STE 500, BELLEVUE, WA 98004-5175
(425) 559-7809
Mailing address
3110 CAMINO DEL RIO S STE 307, SAN DIEGO, CA 92108-3832
(619) 795-9925
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BA61394770
WA
106S00000X
Behavior Technician
—
—
Other
Enumeration date
01/09/2018
Last updated
10/23/2024
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