Kenneth Johnson

NPI #1083494199 in Morris, Illinois

Provider Information

NPI Number: 1083494199
Entity Type: Individual
Name: Kenneth Johnson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Oct 5, 2023
Last Updated: Oct 5, 2023

Practice Location

Address: 1715 N DIVISION ST STE D
City: Morris
State: Illinois
ZIP Code: 60450-3102
Phone: (815) 510-0585

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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