Johnson, Alexa

Johnson, Alexa is an individual health care provider with primary practice located at 118 Ketay Dr S , East Northport NY 11731-5014. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Johnson, Alexa can be contacted via phone (631) 275-6131.

Contact Information

Primary practice address
118 Ketay Dr S East Northport NY 11731-5014
Phone: (631) 275-6131
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1023543949
LBN Legal business name Johnson, Alexa
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 28th, 2017
Last updated Apr 28th, 2017 - about 8 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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