Most Relevant Information
Provider Data
| NPI Number: | 1003647496 |
| Provider Name: | KYNSLEE NICOLE JOHNSON |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/08/2024 |
| Last Updated: | 08/08/2024 |
Provider Practice Location
6004 WALDEN DR
KNOXVILLE
TN
379196337
Practice Location Phone/Fax
| Phone: | 8657665775 |
| Fax: |
Provider Mailing Location
5554 RESEDA BLVD STE 203
TARZANA
CA
913566212
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |