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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KELLY BERNICE JOHNSON

Active Sole Proprietor

KELLY BERNICE JOHNSON is a Behavior Technician healthcare provider located in PLYMOUTH, Minnesota. NPI 1295545440 is currently active in the NPPES registry. Verify at CMS.

Behavior Technician · PLYMOUTH, MN

Registration Details

NPI Number
1295545440
Provider Type
Individual
Gender
Female
NPI Issued
Jan 9, 2025 (1.6181621664898 yrs)
Last Updated
Jan 9, 2025
Sole Proprietor
Yes

Practice Information

Address
3007 HARBOR LN N STE 1200
PLYMOUTH, MN, 554475138
Browse MN providers · Browse ZIP 55447
Phone
6124533412
Primary Specialty
Behavior Technician
106S00000X

Other Behavior Technician Providers in PLYMOUTH, MN

Name Credential NPI
TAISHAWN MILLER MS, BT 1659860567
LEA ICHIMURA 1326680463
SARA POFF 1255975728
JASHAE JOHNSON 1346884822
DANIEL SELBY 1902440472
KADIJAT KOLAWOLE AYOUB 1811531387
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.