Olivia Gail Johnson
Individual provider Active NPI Behavior Technician · Osawatomie, KS
NPI 1740008929 · NPPES record last updated Sep 27, 2024
Key facts
- NPI
- 1740008929
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 29875 W 339TH St
Osawatomie, KS 66064-4159 - Phone
- (913) 755-4357
- Fax
- (913) 755-4356
- NPI assigned
- Sep 27, 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
29875 W 339TH St
Osawatomie, KS 66064-4159
Mailing address
29875 W 339TH St
Osawatomie, KS 66064-4159
Phone (913) 755-4357
Other providers in Osawatomie, KS
- Alyson Lyn Hastings
- Laura Lea Henness
- Michael Patrick Herriges
- Homestead of Osawatomie Operations, LLC
- Julie Hurlock
- Clayton Kellerman
- Laura Kellerman
- Steven Kinder
- Christopher Shawn Klehammer
- Raemee Knepper
All providers in Osawatomie, KS · Behavior Technician in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 27, 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.