NPI 1013732619

Sara Mishael Johnson

Practitioner Behavior Technician Russellville, AR

Practice location

Address: 301 N Sidney Ave, Russellville, AR 72801-4383
Phone: (479) 890-5494
Fax: (479) 498-9665

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X

Other Behavior Technician providers in Arkansas →

Registry record

NPI: 1013732619
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Nov 2024
Record last updated: 19 Nov 2024

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.