Healthcare Provider Details

I. General information

NPI: 1528709110
Provider Name (Legal Business Name): SARAH JANE JOHNSON BCBA, LBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MISS SARAH JANE GRAVER

II. Dates (important events)

Enumeration Date: 04/06/2022
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

522 W RIVERSIDE AVE STE N
SPOKANE WA
99201-0581
US

IV. Provider business mailing address

522 W RIVERSIDE AVE STE N
SPOKANE WA
99201-0581
US

V. Phone/Fax

Practice location:
  • Phone: 206-468-8341
  • Fax:
Mailing address:
  • Phone: 206-468-8341
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-26-2851309
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License NumberLBA.BA.70184202
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: