Organization
ABA BY KDJ, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATELYN JOHNSON M.S., BCBA (OWNER)
(813) 892-9222
Entity
Organization
Contact information
Practice address
326 9TH AVE NE APT 1, ST PETERSBURG, FL 33701-1946
(813) 892-9222
Mailing address
PO BOX 1356, ST PETERSBURG, FL 33731-1356
(813) 892-9222
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/19/2014
Last updated
05/02/2016
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