Penny Johansen

NPI #1720512577 in Issaquah, Washington

Provider Information

NPI Number: 1720512577
Entity Type: Individual
Name: Penny Johansen
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Apr 19, 2017
Last Updated: Apr 19, 2017

Practice Location

Address: 5436 232ND AVE SE
City: Issaquah
State: Washington
ZIP Code: 98029
Phone: (206) 380-3009

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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