| NPI | 1558772251 |
|---|---|
| Former Name | JENNIFER JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-19-37440) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2014-05-15 |
| Last Update Date | 2020-12-28 |