Alissa Meredith Johnson
Individual provider Active NPI Behavior Technician · Callahan, FL
NPI 1619703196 · NPPES record last updated Sep 11, 2024
Key facts
- NPI
- 1619703196
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 450061 State Road 200 Unit 2
Callahan, FL 32011-3842 - Phone
- (904) 886-3228
- NPI assigned
- Sep 11, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
450061 State Road 200 Unit 2
Callahan, FL 32011-3842
Mailing address
450061 State Road 200 Unit 2
Callahan, FL 32011-3842
Other providers in Callahan, FL
- Helping Hands Home Services, LLC
- Holly Elizabeth Hengerer
- Holiday CVS LLC
- Donna Lee Irwin
- Tammy Louise Jimenez
- Tiffany Johnston
- Lathern Barnard Jones
- Lindsey Jones
- Timea Alexandra Kecskemeti-Kovacs
- Heather Kirk
All providers in Callahan, FL · Behavior Technician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.