Jashae Johnson

NPI #1346884822 in Plymouth, Minnesota

Provider Information

NPI Number: 1346884822
Entity Type: Individual
Name: Jashae Johnson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Oct 29, 2019
Last Updated: Oct 29, 2019

Practice Location

Address: 2600 FERNBROOK LN N STE 138
City: Plymouth
State: Minnesota
ZIP Code: 55447-4752
Phone: (952) 544-0349

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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