Individual
KAILEY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1419 CAMBRIDGE DR, MURFREESBORO, TN 37129-1722
(865) 307-2701
Mailing address
7108 S KANNER HWY, STUART, FL 34997-7462
(855) 832-6727
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/04/2023
Last updated
07/04/2023
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