Johnson, Kelli

Johnson, Kelli is an sole proprietor health care provider with primary practice located at 604 Heathrow Drive Unit 1095, Myrtle Beach SC 29579. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Johnson, Kelli can be contacted via phone (740) 645-7688.

Contact Information

Primary practice address
604 Heathrow Drive Unit 1095 Myrtle Beach SC 29579
Phone: (740) 645-7688
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1619618881
LBN Legal business name Johnson, Kelli
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 4th, 2022
Last updated May 18th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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