Individual
JAELI JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2017 E RACE AVE, SEARCY, AR 72143-4725
(501) 358-6535
Mailing address
PO BOX 10267, CONWAY, AR 72034-0003
(501) 358-3565
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/15/2026
Last updated
05/15/2026
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