| NPI | 1568978039 |
|---|---|
| Former Name | PEYTON JEAN JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: KS 376) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MO 2020013180) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2017-12-20 |
| Last Update Date | 2020-05-16 |