NPI 1851052245 · live from the CMS NPI Registry
Jessica Johnson
Behavior Analyst in Dakota Dunes, SD. National Provider Identifier 1851052245, active.
NPI record
| NPI | 1851052245 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 633 Hawk Cir, Dakota Dunes, SD 57049 |
| Practice phone | 605-261-7322 |
| Enumerated | January 6, 2022 |
| Last updated | January 6, 2022 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst | 103K00000X | 045-ABA (SD) |
| Behavior Analyst primary | 103K00000X | 105790 (IA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.