Individual
ASHLEY M. JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5096 GLEN ST, LA MESA, CA 91942-9563
(208) 358-3863
Mailing address
5096 GLEN ST, LA MESA, CA 91942-9563
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
ID
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/18/2020
Last updated
10/08/2025
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