Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Alicia Johnson, CCCSLP

Individual provider Occupational Therapy Assistant · NPI 1154156479

Alicia Johnson, CCCSLP is an Occupational Therapy Assistant in Jasper, Alabama. Licensed in Alabama. Registered with an NPI since 2024.

Licensed in
AL
In the registry since
2024
Specialties on file
2

Practice location Address checks out

745 Russell Dairy Rd
Jasper, AL 35503-3551
Phone: (205) 387-0562
Fax: (205) 387-8210
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 2759 (AL)
Occupational Therapy Assistant Taxonomy 224Z00000X · Licence 5348 (AL)

Record details

NPI number1154156479
Entity typeIndividual (Type 1)
GenderFemale
Credentials CCCSLP
Sole proprietorNo
NPI enumeratedSeptember 5, 2024
Last updated in NPPESSeptember 5, 2024
Certification dateSeptember 5, 2024
Mailing address745 Russell Dairy Rd, Jasper, AL 35503-3551

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