Provider Demographics
NPI:1205685435
Name:JANUS INTERVENTIONS, LLC
Entity type:Organization
Organization Name:JANUS INTERVENTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JERMAINE
Authorized Official - Middle Name:MARCELL
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:MS, ABA, MBA, LBS
Authorized Official - Phone:215-962-4344
Mailing Address - Street 1:765 LIMEKILN PIKE UNIT 7
Mailing Address - Street 2:
Mailing Address - City:GLENSIDE
Mailing Address - State:PA
Mailing Address - Zip Code:19038-3929
Mailing Address - Country:US
Mailing Address - Phone:215-962-4344
Mailing Address - Fax:215-962-4344
Practice Address - Street 1:765 LIMEKILN PIKE UNIT 7
Practice Address - Street 2:
Practice Address - City:GLENSIDE
Practice Address - State:PA
Practice Address - Zip Code:19038-3929
Practice Address - Country:US
Practice Address - Phone:215-962-4344
Practice Address - Fax:215-962-4344
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-20
Last Update Date:2024-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst