Most Relevant Information
Provider Data
| NPI Number: | 1003387408 |
| Provider Name: | JESHANA JOHNSON |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 12/10/2018 |
| Last Updated: | 08/12/2019 |
Provider Practice Location
1556 S SULTANA AVE
ONTARIO
CA
917614238
Practice Location Phone/Fax
| Phone: | 9094186923 |
| Fax: | 9094186937 |
Provider Mailing Location
1556 S SULTANA AVE
ONTARIO
CA
917614238
Provider Mailing Phone/Fax
| Phone: | 9094186923 |
| Fax: | 9094186937 |