Whalio Doctors

NPI 1083335962

Gwendolyn Johnson, BCBA

Practitioner Behavior Analyst Bowling Green, KY

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
Behavioral Health & Social Service Providers Taxonomy 103K00000X Licence 1-24-70492
Behavior Technician
Behavioral Health & Social Service Providers Taxonomy 106S00000X

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.