Deandra Johnson-Barrett

Individual provider Active NPI Behavior Technician · Clarksville, TN

NPI 1649099474 · NPPES record last updated Oct 8, 2024

Key facts

NPI
1649099474
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
331 Landrum PL
Clarksville, TN 37043-6329
Phone
(931) 553-1395
NPI assigned
Oct 8, 2024
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X TN Yes

Addresses

Primary practice location

331 Landrum PL
Clarksville, TN 37043-6329

Mailing address

331 Landrum PL
Clarksville, TN 37043-6329
Phone (931) 553-1395

Other providers in Clarksville, TN

All providers in Clarksville, TN · Behavior Technician in Tennessee

Sources for this page

Verify at the official NPI Registry.