Provider Demographics
NPI:1851864482
Name:JOHNSON, ALEKSEI DREW (MA, BCBA)
Entity type:Individual
Prefix:MRS
First Name:ALEKSEI
Middle Name:DREW
Last Name:JOHNSON
Suffix:
Gender:F
Credentials:MA, BCBA
Other - Prefix:MISS
Other - First Name:ALEKSEI
Other - Middle Name:DREW
Other - Last Name:HASLETT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1817 WELLSPRING AVE SE
Mailing Address - Street 2:
Mailing Address - City:RIO RANCHO
Mailing Address - State:NM
Mailing Address - Zip Code:87124-4956
Mailing Address - Country:US
Mailing Address - Phone:505-828-3837
Mailing Address - Fax:
Practice Address - Street 1:1817 WELLSPRING AVE SE
Practice Address - Street 2:
Practice Address - City:RIO RANCHO
Practice Address - State:NM
Practice Address - Zip Code:87124-4956
Practice Address - Country:US
Practice Address - Phone:505-828-3837
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-01-07
Last Update Date:2024-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician