Individual
KIVONNE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6915 WRIGHT PLZ APT 5L, OMAHA, NE 68106-3421
(402) 301-8236
Mailing address
6915 WRIGHT PLZ APT 5L, OMAHA, NE 68106-3421
(402) 301-8236
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
NE
Other
Enumeration date
02/17/2023
Last updated
02/17/2023
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