Kimberly Johnson, MA

NPI #1942981006 in Deer Park, New York

Provider Information

NPI Number: 1942981006
Entity Type: Individual
Name: Kimberly Johnson, MA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Credential: MA
Enumeration Date: Jul 31, 2023
Last Updated: Jul 31, 2023

Practice Location

Address: 1817 DEER PARK AVE UNIT D
City: Deer Park
State: New York
ZIP Code: 11729-4330
Phone: (516) 305-3324

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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