Individual
KENNEDY PAIGE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12650 HAMILTON CROSSING BLVD, CARMEL, IN 46032-5400
(317) 249-2242
Mailing address
550 CONGRESSIONAL BLVD STE 220, CARMEL, IN 46032-5632
(317) 249-2242
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
IN
106S00000X
Behavior Technician
—
—
Other
Enumeration date
03/09/2021
Last updated
10/10/2024
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