NPI 1083335962
Gwendolyn Johnson, BCBA
Practice location
- Address
- 968 Anise Ln, Bowling Green, KY 42104-7775
- Phone
- (404) 488-7811
- Mailing address
- 985 Bruton CT SW, Marietta, GA 30064-2971
Registered specialties (2)
Behavior Analyst
Primary
Behavior Technician
Registry record
- NPI
- 1083335962
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 8 Sep 2022
- Record last updated
- 14 Jan 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.