Ryan Lee Johnson, BCBA
Behavior Analyst in Colorado Springs, CO. Individual provider (NPI-1).
NPI number1962040329
StatusActive
Last updated in NPPESJul 27, 2021
Details
- NPI
- 1962040329
- Entity type
- Individual (NPI-1)
- Name
- Ryan Lee Johnson
- Credential
- BCBA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 17, 2019
- Certification date
- Jul 27, 2021
- Last updated
- Jul 27, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | 1-21-51614 | – | Yes |
| 106S00000X | Behavior Technician | – | – |
Practice location
5446 N Academy Blvd Ste 105Colorado Springs, CO 80918-3668
Phone 719-598-5555
Mailing address
990 War Eagle Dr NColorado Springs, CO 80919-1650
Phone 605-951-1293
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