Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 106E00000X | Assistant Behavior Analyst | C-073 | LA |
N | 106S00000X | Behavior Technician |
NPI | 1053824383 |
---|---|
Provider Name | Asia Johnson |
First Address | New Orleans, LA 70123-8505 |
Second Address | Metairie, LA 70006-6713 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/11/2017 |
Last Update Date | 24/06/2021 |