Doctor Name: | KELLYN JOHNSON |
NPI Number: | 1740547926 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, BCBA |
License Number: | 1-12-10462 |
Business Practice Address: | 4443 N Josey Ln Suite 100 Carrollton, TX - 750104743 |
Business Phone Number: | 9729393969 |
Business Fax Number: | 9724202767 |
Mailing Address: | 355 E Vista Ridge Mall Dr, # 3533 LEWISVILLE |
State: | TX |
Postal Code: | 750674008 |
Phone Number: | 9729393969 |
Fax Number: | 9724202767 |
NPI Enumeration Date: | 04/12/2012 |
NPI Last Update Date: | 04/12/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103K00000X |
License Number: | 1-12-10462 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Behavioral Analyst |
Taxonomy Specialization: | |
Taxonomy Definition: | A Behavior Analyst is a practitioner who specializes in analysis of behavior problems and development of appropriate intervention and treatment plans. A Behavior Analyst may work independently or with a team of professionals. Behavior Analysts often specialize in a particular area such as autism, developmental disabilities, mental health, geriatrics, or head trauma. |