Marie Kathleen Johnson, BCBA

Behavior Analyst · Pleasant Prairie, WI

Individual Active NPI

NPI number 1750868642

Practice location

10450 72ND Ave
Pleasant Prairie, WI 53158-2911
Phone
(645) 326-2657

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NPI record

NPI
1750868642
Entity type
Individual (Type 1)
Enumeration date
July 23, 2018
Last updated
July 23, 2018
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Analyst Primary 103K00000X 242-140 WI

Mailing address

1850 New St Apt 108
Union Grove, WI 53182-1779
Phone
(262) 880-5581

About Marie Johnson

Marie Kathleen Johnson, BCBA is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Analyst (code 103K00000X). The practice location is 10450 72ND Ave, Pleasant Prairie, WI 53158-2911. The NPI number 1750868642 was assigned on July 23, 2018 and the record was last updated on July 23, 2018.

Marie Johnson lists a license in the registry: #242-140 (WI) for Behavior Analyst. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Marie Kathleen Johnson, BCBA?

The NPI number is 1750868642.

What is the phone number of Marie Johnson?

The phone number listed for the practice location is (645) 326-2657.

Where is Marie Johnson located?

10450 72ND Ave, Pleasant Prairie, WI 53158-2911.

What is the taxonomy code for Marie Johnson?

The primary taxonomy code is 103K00000X – Behavior Analyst.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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