Individual
KALEB JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
302 RAILWAY AVE., SEWARD, AK 99664
(907) 224-5257
Mailing address
4002 W MARBLE WAY, WASILLA, AK 99654-8752
(316) 832-8433
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/25/2019
Last updated
11/25/2025
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