Individual
JESSICA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
633 HAWK CIR, DAKOTA DUNES, SD 57049-5385
(605) 261-7322
Mailing address
633 HAWK CIR, DAKOTA DUNES, SD 57049-5385
(605) 261-7322
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
045-ABA
SD
103K00000X
Behavior Analyst
Primary
105790
IA
Other
Enumeration date
01/06/2022
Last updated
01/06/2022
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