Individual
ELISSA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED., BCBA
Contact information
Practice address
200 GRIFFIN RD, SUITE 5, PORTSMOUTH, NH 03801-7145
(800) 778-5560
(800) 778-5560
Mailing address
200 GRIFFIN RD, SUITE 5, PORTSMOUTH, NH 03801-7145
(800) 778-5560
(800) 778-5560
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-10-7613
—
Other
Enumeration date
08/03/2011
Last updated
12/05/2013
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