Individual
ASHLEY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1532 SW MAPP RD, PALM CITY, FL 34990-2446
(772) 678-6704
Mailing address
1532 SW MAPP RD, PALM CITY, FL 34990-2446
(772) 678-6704
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-52516
—
106S00000X
Behavior Technician
RBT-18-68175
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102866500
—
FL
Enumeration date
06/01/2018
Last updated
08/22/2022
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