Individual
KAYLA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
2510 LAKELAND TER, JACKSON, MS 39216-4702
(782) 760-1982
(601) 982-0800
Mailing address
219 DUBLIN CT, BRANDON, MS 39047-8035
(501) 286-9941
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/10/2019
Last updated
05/10/2019
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