Individual provider · Type 1 NPI

Ryan Johnson

Community/Behavioral Health Agency · Boise, ID

NPI number 1992674212 Active

Practice location

8620 W Emerald St Ste 150
Boise, ID 83704-4839

Call (208) 617-3265 Map

Mailing address

16 N Joseph Dr
Nampa, ID 83651-2135

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency Primary 251S00000XNone listed

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

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About NPI 1992674212

Ryan Johnson's National Provider Identifier is 1992674212, issued on Nov 4, 2025. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Boise, ID. The record was last updated on Nov 4, 2025.