Individual
KATELYN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
99 E MORGAN RD, HAGERMAN, NM 88232-9714
(888) 349-9357
Mailing address
222 STATE ROAD 129 S, BATESVILLE, IN 47006-7694
(812) 932-7284
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-400181
—
Other
Enumeration date
02/21/2025
Last updated
03/06/2026
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