IndividualActive
Jasmaine Johnson
NPI 1578279584 · Behavior Technician · Broadlands, VA
Jasmaine Johnson is a Behavior Technician provider in Broadlands, VA (NPI 1578279584).
Provider details
- NPI number
- 1578279584
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Practice location
21576 Iredell Ter
Broadlands, VA 20148-5033
Phone: (510) 738-7709
Fax: (844) 333-0432
Street-level locationGet directions
Mailing address
21576 Iredell Ter
Broadlands, VA 20148-5033
Registry dates
- Enumerated
- 2023-01-24
- Last updated
- 2023-01-24
- Certified
- 2023-01-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.