NPI 1063026730
Jill Johnson, BI
Practice location
- Address
- 3609 W Rose Hill St, Boise, ID 83705-1515
- Phone
- (208) 901-0387
- Mailing address
- 1116 S Vista Ave # 101, Boise, ID 83705-2429
Registered specialties
Behavior Analyst
Primary
Registry record
- NPI
- 1063026730
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 1 Sep 2020
- Record last updated
- 1 Sep 2020
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.