Individual
MS. KAYLA NICOLE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1585 N MILWAUKEE AVE STE 101, LIBERTYVILLE, IL 60048-1359
(847) 918-7947
Mailing address
1585 N MILWAUKEE AVE STE 101, LIBERTYVILLE, IL 60048-1359
(224) 430-6907
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/04/2024
Last updated
02/16/2025
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