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Sage Johnson

Behavior Technician in Vancouver, WA. Individual provider (NPI-1).

NPI number1932030293
StatusActive
Last updated in NPPESMay 26, 2026

Details

NPI
1932030293
Entity type
Individual (NPI-1)
Name
Sage Johnson
Sex
Female
Sole proprietor
No
Enumeration date
May 26, 2026
Certification date
May 26, 2026
Last updated
May 26, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician–WAYes

Practice location

636 W 6th St Apt 417
Vancouver, WA 98660-2820

Phone 971-278-8931

Mailing address

636 W 6th St Apt 417
Vancouver, WA 98660-2820

Phone 971-278-8931

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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