Female

Alyssa Johnson

Behavioral Analyst in Bismarck, ND(View on Map)

Full Name

Alyssa Johnson

NPI Number

1598379091

NPI Type

Individual Provider

Gender

Female

Enumeration Date

09/02/2020

Specialties

(Taxonomies)

Code

103K00000X

Primary Taxonomy

Yes

Licenses

State

North Dakota

License Number

BMOD

Contact
Information

Purpose

Mailing
Location

Address

1237 W DIVIDE AVE STE 5
1237 W DIVIDE AVE STE 5

City

Bismarck
Bismarck

State

ND
ND

Postal Code

58501-1208
58501-1208

Country

US
US

Telephone Number

(701) 328-8851
(701) 328-8851

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 09/02/2020

Provider Address

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