Jaquisha Marie Johnson
NPI #1871201269 in Everett, Washington
Provider Information
- NPI Number
- 1871201269
- Entity Type
- Individual
- Name
- Jaquisha Marie Johnson
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Behavior Technician
- Enumeration Date
- Nov 14, 2022
- Last Updated
- Nov 14, 2022
Practice Location
- Address
- 10110 19TH AVE SE APT I103
- City
- Everett
- State
- Washington
- ZIP Code
- 98208-4272
- Phone
- (210) 557-1185
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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