Individual provider · Type 1 NPI

Dominic Idris Johnson

Behavior Analyst · Vallejo, CA

NPI number 1104393149 Active

Practice location

150 Glen Cove Marina Rd E Ste 102
Vallejo, CA 94591-7237

Call (707) 553-1784 Map

Mailing address

2157 Hillridge Dr
Fairfield, CA 94534-7950

Specialties and licenses

TaxonomyCodeLicense
Behavior Analyst Primary 103K00000XNone listed

Behavior Analyst: A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis…

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About NPI 1104393149

Dominic Idris Johnson's National Provider Identifier is 1104393149, issued on Oct 29, 2018. The primary taxonomy on file is Behavior Analyst (103K00000X), and the practice location is in Vallejo, CA. The record was last updated on Oct 29, 2018.