Jennifer Johnson, RBT
Behavior Technician in Lafayette, IN. Individual provider (NPI-1).
NPI number1710690508
StatusActive
Last updated in NPPESDec 27, 2022
Details
- NPI
- 1710690508
- Entity type
- Individual (NPI-1)
- Name
- Jennifer Johnson
- Credential
- RBT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 27, 2022
- Certification date
- Dec 27, 2022
- Last updated
- Dec 27, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | RBT-22-250130 | IN | Yes |
Practice location
3781 Bayley Dr Ste BLafayette, IN 47905-8657
Phone 765-201-4767 · Fax 317-520-8200
Mailing address
3500 Depauw Blvd Ste 3070Indianapolis, IN 46268-6135
Phone 855-324-0885 · Fax 317-520-8200
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