| Provider / Organization | NPI | Date Certified |
|---|---|---|
| TALIYAH JOHNSON | 1972240620 | 2022-05-15 |
Taliyah Johnson is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1972240620. Registration indicates Taliyah Johnson is a provider of services with a specialization in Behavioral Health & Social Service Providers, Behavior Technician (Behavior Technician, Behavioral Health & Social Service Providers) (Behavior Technician, )
| Entity Type | Individual |
| Provider Name | Taliyah Johnson RBT |
| Practice Office Address | 20785 W MCKINNEY AVE DUNNELLON, FL US |
| Practice Office Telephone | 3523425006 |
| Mailing Address | 20785 W MCKINNEY AVE DUNNELLON, FL 344316418 US |
| Business Telephone | 3523425006 |
| Code | Practice | License No State |
|---|---|---|
| 106S00000X PRIMARY | Behavioral Health & Social Service Providers Behavior Technician Behavior Technician Behavioral Health & Social Service Providers Behavior Technician | RBT-22-216278
FL |