Search › Arizona › 103TS0200X
Jacqueline Johnson, ED.D
NPI 1396959664 · on the registry since 2007 · sole proprietor
Practice
- Address
- 416 N Kendrick St
Flagstaff, AZ 86001 - Phone
- (928) 774-9123
- Organisation at this address
- Beverlee Gibbs-Cassady
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 7
Registry record
- Primary taxonomy
- 103TS0200X
103TS0200X
- Also registered as
- 103T00000X
- Licence states on file
- AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-09-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona