Individual
JANA E JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5306 LEE HWY, WARRENTON, VA 20187-9377
(571) 212-6627
Mailing address
5306 LEE HWY, WARRENTON, VA 20187-9377
(571) 212-6627
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
VA
106S00000X
Behavior Technician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1730681610
—
NC
Enumeration date
03/06/2018
Last updated
08/22/2023
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