Individual
KAYLA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, BCBA
Contact information
Practice address
4541 HERITAGE TRACE PKWY STE 1333, FORT WORTH, TX 76244-8949
(817) 385-7140
Mailing address
705 BLAKE CT, MANSFIELD, TX 76063-5838
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-22-62190
TX
Other
Enumeration date
11/07/2022
Last updated
11/07/2022
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