Kyra Johnson

NPI #1417632076 in Olivette, Missouri

Provider Information

NPI Number: 1417632076
Entity Type: Individual
Name: Kyra Johnson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jun 20, 2023
Last Updated: Jun 20, 2023

Practice Location

Address: 9374 OLIVE BLVD
City: Olivette
State: Missouri
ZIP Code: 63132-3267
Phone: (314) 932-2402

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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