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Kalliah Johnson

Day Training/Habilitation Specialist in Fremont, NE. Individual provider (NPI-1).

NPI number1962394098
StatusActive
Last updated in NPPESJul 15, 2025

Details

NPI
1962394098
Entity type
Individual (NPI-1)
Name
Kalliah Johnson
Sex
Female
Sole proprietor
No
Enumeration date
Jul 15, 2025
Certification date
Jul 15, 2025
Last updated
Jul 15, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
373H00000X Day Training/Habilitation Specialist––Yes

Practice location

1033 E 23rd St Ste 7
Fremont, NE 68025-2448

Phone 402-375-2881

Mailing address

1202 E 14th St
Wayne, NE 68787-1247

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