Individual
KAYLI JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
258 SALEM ST FL 2, BRIDGEPORT, CT 06606-4681
(347) 513-0729
(347) 513-0729
Mailing address
258 SALEM ST FL 2, BRIDGEPORT, CT 06606-4681
(347) 513-0729
(347) 513-0729
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/25/2025
Last updated
11/25/2025
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