Johnson, Hannah Kate
Johnson, Hannah Kate is an individual health care provider with primary practice located at 17706 Interstate 30 N , Benton AR 72019-2907. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Nursing Service Related Providers / Day Training/Habilitation Specialist, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Johnson, Hannah Kate can be contacted via phone (501) 315-4414.Contact Information
Primary practice address
17706 Interstate 30 N
Benton AR 72019-2907
Phone: (501) 315-4414
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X | Arkansas | |
Nursing Service Related Providers / Day Training/Habilitation Specialist | 373H00000X | ||
Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | 1-23-65898 |
Profile Details
NPI number | 1649828823 |
---|---|
LBN Legal business name | Johnson, Hannah Kate |
Credentials | MSPED, BCBA |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 30th, 2019 |
Last updated | May 28th, 2024 - about 4 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1649828823 | NPPES |
Arkansas | MEDICAID | 235425706 |
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