Jordan Johnson
Behavior Technician in Waipahu, HI. Individual provider (NPI-1).
NPI number1013548643
StatusActive
Last updated in NPPESNov 9, 2022
Details
- NPI
- 1013548643
- Entity type
- Individual (NPI-1)
- Name
- Jordan Johnson
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 2, 2020
- Certification date
- Nov 9, 2022
- Last updated
- Nov 9, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
| 172V00000X | Community Health Worker | – | – |
Practice location
94-849 Lumiaina St Unit 201Waipahu, HI 96797-5677
Phone 855-223-7123 · Fax 619-374-7134
Mailing address
16782 Von Karman Ave Ste 11Irvine, CA 92606-2417
Phone 855-223-7123 · Fax 619-374-7134
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All 859 Behavior Technician providers in Waipahu · All 2,066 providers in Waipahu
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