Poore, Johanna Rae

Poore, Johanna Rae is an sole proprietor health care provider with primary practice located at 4105 Holiday St Nw # 202 , Canton OH 44718-2531. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Poore, Johanna Rae can be contacted via phone (203) 539-6972.

Contact Information

Primary practice address
4105 Holiday St Nw # 202 Canton OH 44718-2531
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X COBA.01424 Ohio

Profile Details

NPI number 1255024980
LBN Legal business name Poore, Johanna Rae
Credentials MA, BCBA COBA
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 30th, 2023
Last updated Apr 8th, 2026 - about 6 months 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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