Kelis Johnson

NPI #1598634339 in Raeford, North Carolina

Provider Information

NPI Number: 1598634339
Entity Type: Individual
Name: Kelis Johnson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Oct 31, 2025
Last Updated: Oct 31, 2025

Practice Location

Address: 209 FLAGSTONE LN
City: Raeford
State: North Carolina
ZIP Code: 28376
Phone: (910) 876-5168

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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