Jasmaine Johnson

NPI #1578279584 in Broadlands, Virginia

Provider Information

NPI Number: 1578279584
Entity Type: Individual
Name: Jasmaine Johnson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jan 24, 2023
Last Updated: Jan 24, 2023

Practice Location

Address: 21576 IREDELL TER
City: Broadlands
State: Virginia
ZIP Code: 20148-5033
Phone: (510) 738-7709

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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