NPI 1003646324

Mariah Johnson

Practitioner Assistant Behavior Analyst Petaluma, CA

Practice location

Address: 755 Baywood Dr Fl 2, Petaluma, CA 94954-5510
Phone: (707) 888-4157
Mailing address: 7108 S Kanner Hwy, Stuart, FL 34997-7462

Registered specialties (3)

Assistant Behavior Analyst Primary

Behavioral Health & Social Service Providers Taxonomy 106E00000X

Other Assistant Behavior Analyst providers in California →

Mental Health Counselor

Behavioral Health & Social Service Providers Taxonomy 101YM0800X

Other Counselor providers in California →

Community Health Worker

Other Service Providers Taxonomy 172V00000X

Other Community Health Worker providers in California →

Registry record

NPI: 1003646324
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 Aug 2024
Record last updated: 23 Jun 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.