Johnson, Victoria G
Johnson, Victoria G is an individual health care provider with primary practice located at 4210 Broadway St , Pearland TX 77581-4118. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Johnson, Victoria G can be contacted via phone (318) 600-6640.Contact Information
Primary practice address
4210 Broadway St
Pearland TX 77581-4118
Phone: (318) 600-6640
Fax: (318) 855-1277
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | L-219 | Louisiana |
Profile Details
| NPI number | 1346766862 |
|---|---|
| LBN Legal business name | Johnson, Victoria G |
| Credentials | LBA |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 16th, 2017 |
| Last updated | Nov 10th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1346766862 | NPPES |
| Louisiana | MEDICAID | L-219 |
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