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General NPI Number Information
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NPI Number | 1508739053
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Entity Type | Individual
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Provider Name | ASHLYN JOHNSON
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Gender | Female
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Dates
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Enumeration Date | 09/29/2025
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Last Update Date | 09/29/2025
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Provider Practice Location Address
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Address Line | 8385 RUSHING RD E
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City | DENHAM SPRINGS
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State | LA
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Zip | 70726-7817
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Country | US
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Telephone | 225-377-4139
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Fax | 225-377-4067
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Provider Business Mailing Address
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Address Line | 8385 RUSHING RD E
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City | DENHAM SPRINGS
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State | LA
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Zip | 70726-7817
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Country | US
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Telephone | 225-377-4139
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Fax | 225-377-4067
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | L1021
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License Number State | LA
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