NPI 1609138163 · live from the CMS NPI Registry
Stephanie Ann Johnson, BCBA, LBA
Behavior Analyst in Ketchikan, AK. National Provider Identifier 1609138163, active.
NPI record
| NPI | 1609138163 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 445 Main St Apt B, Ketchikan, AK 99901 |
| Practice phone | 907-220-7419 |
| Enumerated | June 11, 2012 |
| Last updated | September 28, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | 173332 (AK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.