Kinzie Rae Johnson

NPI #1518817519 in Bemidji, Minnesota

Provider Information

NPI Number
1518817519
Entity Type
Individual
Name
Kinzie Rae Johnson
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Behavior Technician
Enumeration Date
Jan 29, 2026
Last Updated
Jan 29, 2026

Practice Location

Address
2508 WASHINGTON AVE SE
ZIP Code
56601
Phone
(952) 767-4200

Specialties & Taxonomy Codes

Specialty
Behavior Technician

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