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:
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Health care specialties

SpecialtyCodeLicense #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 2 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 1649828823 NPPES
Arkansas MEDICAID 235425706

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