Individual
ALEX J JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-473595
IA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
NY
Other
Enumeration date
09/18/2025
Last updated
08/18/2026
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