Johnson, Karisa

Johnson, Karisa is an sole proprietor health care provider with primary practice located at 1470 Industrial Ave , Rochester MN 55901-2616. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Behavior Technician. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Johnson, Karisa can be contacted via phone (507) 322-7750.

Contact Information

Primary practice address
1470 Industrial Ave Rochester MN 55901-2616
Phone: (507) 322-7750
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-20-46193 Minnesota
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1497245542
LBN Legal business name Johnson, Karisa
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 15th, 2018
Last updated Dec 29th, 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 1497245542 NPPES
Minnesota MEDICAID 1588993091

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