Individual
KAYLEE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2511 PAUPAUWELA ST, WAHIAWA, HI 96786-7017
(419) 605-6169
Mailing address
2511 PAUPAUWELA ST, WAHIAWA, HI 96786-7017
(419) 605-6169
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
HI
106S00000X
Behavior Technician
—
—
Other
Enumeration date
02/19/2024
Last updated
03/01/2024
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