Provider Demographics
NPI:1811493992
Name:JOHNSON, ASHLEY KARILYN (MBA, MA, BCBA)
Entity type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:KARILYN
Last Name:JOHNSON
Suffix:
Gender:F
Credentials:MBA, MA, BCBA
Other - Prefix:
Other - First Name:ASHLEY
Other - Middle Name:KARILYN
Other - Last Name:LINDAHL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1908 KRUCHTEN CT S
Mailing Address - Street 2:
Mailing Address - City:SARTELL
Mailing Address - State:MN
Mailing Address - Zip Code:56377-4645
Mailing Address - Country:US
Mailing Address - Phone:320-640-7660
Mailing Address - Fax:
Practice Address - Street 1:1908 KRUCHTEN CT S
Practice Address - Street 2:
Practice Address - City:SARTELL
Practice Address - State:MN
Practice Address - Zip Code:56377-4645
Practice Address - Country:US
Practice Address - Phone:320-640-7660
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-05
Last Update Date:2023-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst