Killian Myles Johnson
Behavior Technician in Farmington, CT. Individual provider (NPI-1).
NPI number1417628512
StatusActive
Last updated in NPPESSep 28, 2021
Details
- NPI
- 1417628512
- Entity type
- Individual (NPI-1)
- Name
- Killian Myles Johnson
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 28, 2021
- Certification date
- Sep 27, 2021
- Last updated
- Sep 28, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
1055 Farmington AveFarmington, CT 06032-1573
Phone 888-805-0759
Mailing address
1055 E Colorado Blvd Ste 560Pasadena, CA 91106-2380
Phone 818-241-6780 · Fax 818-241-6853
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All 40 Behavior Technician providers in Farmington · All 3,315 providers in Farmington
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