ABA by KDJ, Inc.

Organization Active NPI Community/Behavioral Health Agency · St Petersburg, FL

NPI 1104223197 · NPPES record last updated May 2, 2016

Key facts

NPI
1104223197
Entity type
Organization (NPI type 2)
Primary specialty
Community/Behavioral Health Agency 251S00000X
Legal business name
ABA BY KDJ, INC.
Practice address
326 9TH Ave NE Apt 1
St Petersburg, FL 33701-1946
Phone
(813) 892-9222
NPI assigned
Nov 19, 2014
Organization subpart
No

Authorized official

Name
Katelyn Johnson, M.S., BCBA
Title
Owner
Phone
(813) 892-9222

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Yes

Addresses

Primary practice location

326 9TH Ave NE Apt 1
St Petersburg, FL 33701-1946

Mailing address

PO Box 1356
St Petersburg, FL 33731-1356
Phone (813) 892-9222

Other providers in St Petersburg, FL

All providers in St Petersburg, FL · Community/Behavioral Health Agency in Florida

Sources for this page

Verify at the official NPI Registry.