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NPI Code Detail

MEDICARE: MS. ERIN JOHNSON M.A., BCBA

MEDICARE: MS. ERIN JOHNSON M.A., BCBA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician
2103K00000XBehavior AnalystCO

General Provider Information

NPI Number : 1467968321
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ERIN JOHNSON M.A., BCBA
Provider Business Mailing Address
First Line : 1930 FREQUENT FLYER PT
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80915-1500
Country : US
Telephone Number : 800-345-0448
Fax Number :
Provider Business Practice Location Address
First Line : 1930 FREQUENT FLYER PT
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80915-1500
Country : US
Telephone Number : 800-345-0448
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/14/2017
Last Update Date : 01/23/2020

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