Provider Demographics
NPI:1699576330
Name:JEAN-BAPTISTE, JOHANA
Entity type:Individual
Prefix:MS
First Name:JOHANA
Middle Name:
Last Name:JEAN-BAPTISTE
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19314 122ND AVE
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD GARDENS
Mailing Address - State:NY
Mailing Address - Zip Code:11413-1101
Mailing Address - Country:US
Mailing Address - Phone:917-283-7408
Mailing Address - Fax:
Practice Address - Street 1:19314 122ND AVE
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD GARDENS
Practice Address - State:NY
Practice Address - Zip Code:11413-1101
Practice Address - Country:US
Practice Address - Phone:917-283-7408
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-20
Last Update Date:2025-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker