Mykaela Johnson
Behavior Technician in Cornelius, NC. Individual provider (NPI-1).
NPI number1962057653
StatusActive
Last updated in NPPESAug 8, 2019
Details
- NPI
- 1962057653
- Entity type
- Individual (NPI-1)
- Name
- Mykaela Johnson
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 8, 2019
- Last updated
- Aug 8, 2019
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
19615 Liverpool Pkwy Ste BCornelius, NC 28031-4075
Phone 818-241-6780
Mailing address
1055 E Colorado Blvd Ste 560Pasadena, CA 91106-2380
Phone 818-241-6780 · Fax 818-241-6853
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 79 Behavior Technician providers in Cornelius · All 942 providers in Cornelius
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