Jordan Johnson

NPI #1013548643 in Waipahu, Hawaii

Provider Information

NPI Number: 1013548643
Entity Type: Individual
Name: Jordan Johnson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Feb 2, 2020
Last Updated: Nov 9, 2022

Practice Location

Address: 94-849 LUMIAINA ST UNIT 201
City: Waipahu
State: Hawaii
ZIP Code: 96797-5677
Phone: (855) 223-7123

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Health Worker	172V00000X
Behavior Technician	106S00000X	Primary

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