Bayley Johnson
Behavior Technician in Georgetown, KY. Individual provider (NPI-1).
NPI number1962080259
StatusActive
Last updated in NPPESMar 30, 2021
Details
- NPI
- 1962080259
- Entity type
- Individual (NPI-1)
- Name
- Bayley Johnson
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 30, 2021
- Certification date
- Mar 30, 2021
- Last updated
- Mar 30, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
105 Windsor Path Ste 1Georgetown, KY 40324-9819
Phone 859-948-1235
Mailing address
105 Windsor Path Ste 1Georgetown, KY 40324-9819
Phone 859-948-1235
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