Individual
KEELYN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
115 MONTROSE AVE, BUFFALO, NY 14214-1248
(505) 929-6200
Mailing address
3621 MARION LN, LAS CRUCES, NM 88012-7579
(050) 592-9620
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/21/2024
Last updated
11/21/2024
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