Individual
KRISTEN KAYE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
125 W TAYLOR ST, KOKOMO, IN 46901-4554
(765) 419-0411
(800) 727-9914
Mailing address
4180 COOK AVE, WESTFIELD, IN 46062-6172
(317) 965-3837
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
IN
Other
Enumeration date
02/04/2020
Last updated
01/08/2025
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