Johnson, Kimberly

Johnson, Kimberly is an individual health care provider with primary practice located at 153 Hazard Ave , Enfield CT 06082-4592. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Johnson, Kimberly can be contacted via phone (860) 253-5020.

Contact Information

Primary practice address
153 Hazard Ave Enfield CT 06082-4592
Phone: (860) 253-5020
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X
Behavioral Health & Social Service Providers / Professional 101YP2500X

Profile Details

NPI number 1275846131
LBN Legal business name Johnson, Kimberly
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2010
Last updated Apr 11th, 2019 - about 5 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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