Jack Thomas Johnston
Jack Thomas Johnston is a Behavior Technician in Mendota Heights, Minnesota. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
2060 Centre Pointe Blvd Ste 3Mendota Heights, MN 55120-1271
Phone: (612) 447-2689
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1003650714 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | June 19, 2024 |
| Last updated in NPPES | June 19, 2024 |
| Certification date | June 19, 2024 |
| Mailing address | 2060 Centre Pointe Blvd Ste 3, Mendota Heights, MN 55120-1271 |
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