Johnston, Seth
Johnston, Seth is an individual health care provider with primary practice located at 2703 Se Otis Corley Dr , Bentonville AR 72712-3864. He recently has 2 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Technician, Other, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is his primary health care specialty. Johnston, Seth can be contacted via phone (917) 905-0139.Contact Information
Primary practice address
2703 Se Otis Corley Dr
Bentonville AR 72712-3864
Phone: (917) 905-0139
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Technologists, Technicians & Other Technical Service Providers / Technician, Other | 247200000X | ||
Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | 1-21-48450 | Arkansas |
Profile Details
NPI number | 1144799636 |
---|---|
LBN Legal business name | Johnston, Seth |
Credentials | MS |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 14th, 2018 |
Last updated | Jan 9th, 2023 - about last year |
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 | 1144799636 | NPPES |
Arkansas | MEDICAID | 203528721 |
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