Andrea Nikole Johnson
Behavior Technician in Beaverton, OR. Individual provider (NPI-1).
NPI number1154887933
StatusActive
Last updated in NPPESFeb 16, 2019
Details
- NPI
- 1154887933
- Entity type
- Individual (NPI-1)
- Name
- Andrea Nikole Johnson
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 16, 2019
- Last updated
- Feb 16, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | IN-10196787 | OR | Yes |
Other names
- Andrea Nikole Kleeman (Former Name)
Practice location
6200 Sw Arctic DrBeaverton, OR 97005-9447
Phone 503-224-2184
Mailing address
21600 Oxnard St Ste 1800Woodland Hills, CA 91367-7807
Phone 818-345-2345
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