National Provider Identifier
Keelyn Johnson
Keelyn Johnson is listed in the NPPES registry with a primary specialty of Behavior Technician in Buffalo, NY and a listed phone number of (505) 929-6200.
Profile Overview
- NPI
- 1255156402
- Provider Type
- Individual
- Primary Specialty
- Behavior Technician
- Enumeration Date
- November 21, 2024
- Last Updated
- November 21, 2024
Practice Location
- 115 Montrose Ave
- Buffalo, NY 14214-1248
Phone: (505) 929-6200
Mailing Address
- 3621 Marion Ln
- Las Cruces, NM 88012-7579
Specialties
- Behavior Technician (106S00000X)
Full Record
- NPI
- 1255156402
- Entity Type
- Individual
- Last Name
- Johnson
- First Name
- Keelyn
- Mailing Street Address
- 3621 Marion Ln
- Mailing City
- Las Cruces
- Mailing State
- NM
- Mailing ZIP Code
- 88012-7579
- Mailing Country
- US
- Mailing Phone
- (050) 592-9620
- Practice Street Address
- 115 Montrose Ave
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14214-1248
- Practice Country
- US
- Practice Phone
- (505) 929-6200
- Enumeration Date
- November 21, 2024
- Last Updated
- November 21, 2024
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- November 21, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Behavior Technician (106S00000X)