Johnston, Seth

Johnston, Seth is an individual health care provider with primary practice located at 2703 Se Otis Corley Dr , Bentonville AR 72712-3864. He recently has 2 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Technician, Other, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is his primary health care specialty. Johnston, Seth can be contacted via phone (917) 905-0139.

Contact Information

Primary practice address
2703 Se Otis Corley Dr Bentonville AR 72712-3864
Phone: (917) 905-0139
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Technician, Other 247200000X
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-21-48450 Arkansas

Profile Details

NPI number 1144799636
LBN Legal business name Johnston, Seth
Credentials MS
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 14th, 2018
Last updated Jan 9th, 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 1144799636 NPPES
Arkansas MEDICAID 203528721

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