Individual
MRS. KAITLYN MARIE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSW
Contact information
Practice address
2117 METRO CIR SW STE A, HUNTSVILLE, AL 35801-5343
(256) 701-4410
Mailing address
2117 METRO CIR SW STE A, HUNTSVILLE, AL 35801-5343
(256) 701-4410
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/15/2021
Last updated
08/22/2024
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