Individual
KIERRA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3101 MUNICIPAL DR, FARMINGTON, NM 87401-4019
(505) 427-8570
Mailing address
3101 MUNICIPAL DR, FARMINGTON, NM 87401-4019
(505) 427-8570
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/16/2025
Last updated
07/16/2025
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