Individual
KALLIAH JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1033 E 23RD ST STE 7, FREMONT, NE 68025-2448
(402) 375-2881
Mailing address
1202 E 14TH ST, WAYNE, NE 68787-1247
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
07/15/2025
Last updated
07/15/2025
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