Taylor, Johanna

Taylor, Johanna is an sole proprietor health care provider with primary practice located at 1131 Hekau St , Aiea HI 96701-4222. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Taylor, Johanna can be contacted via phone (425) 870-9311.

Contact Information

Primary practice address
1131 Hekau St Aiea HI 96701-4222
Phone: (425) 870-9311
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X RBT-17-34576
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 344 Hawaii

Profile Details

NPI number 1285164327
LBN Legal business name Taylor, Johanna
Credentials BCBA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 12th, 2017
Last updated Apr 14th, 2023 - about 3 years 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285164327 NPPES
Hawaii MEDICAID 004871

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