Jenna Eve Johnston
Behavior Technician in Riverside, CA. Individual provider (NPI-1).
NPI number1619708310
StatusActive
Last updated in NPPESAug 13, 2024
Details
- NPI
- 1619708310
- Entity type
- Individual (NPI-1)
- Name
- Jenna Eve Johnston
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 13, 2024
- Certification date
- Aug 13, 2024
- Last updated
- Aug 13, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
525 Technology Ct Ste 101Riverside, CA 92507-2181
Phone 949-309-1378
Mailing address
525 Technology Ct Ste 101Riverside, CA 92507-2181
Phone 949-309-1378
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