MEDICARE: LYNSI AUTUMN JOHNSON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1063044402
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LYNSI AUTUMN JOHNSON

Provider Business Mailing Address
First Line	:	3549 CEDAR RUN RD APT 1506
Second Line	:
City	:	ABILENE
State	:	TX
Zip	:	79606-2469
Country	:	US
Telephone Number	:	325-280-1580
Fax Number	:

Provider Business Practice Location Address
First Line	:	3549 CEDAR RUN RD APT 1506
Second Line	:
City	:	ABILENE
State	:	TX
Zip	:	79606-2469
Country	:	US
Telephone Number	:	325-280-1580
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/04/2020
Last Update Date	:	02/04/2020

Similar Medicare Providers

1821599796 — JODIE KATHLEEN GARDNER RN, LCDC, LPC
Practice Location Address:

2518 HELENA CIRCLE
ABILENE, TX
79606

Practice Phone: 325-280-1257
Practice Fax:

1508715145 — AMANDA LE LAWSON
Practice Location Address:

6250 US HIGHWAY 83
ABILENE, TX
79606-5215

Practice Phone: 325-428-1000
Practice Fax:

1851638357 — DR. PADMA LAKSHMI DRAKSHARAM MD
Practice Location Address:

1957 ANTILLEY RD
ABILENE, TX
79606-5208

Practice Phone: 325-692-0188
Practice Fax: 325-698-4250

1770655466 — ROBERT THOMAS LAIRD CRNA
Practice Location Address:

2120 ANTILLEY RD
ABILENE, TX
79606-5211

Practice Phone: 325-675-6466
Practice Fax: 325-695-3908

1235727876 — KIMBERLY RANEE EAST FNP
Practice Location Address:

6743 MEMORIAL DR
ABILENE, TX
79606-2558

Practice Phone: 325-231-4667
Practice Fax: 325-231-4668

1043022528 — VICTORY SPINAL CARE LLC
Practice Location Address:

6715 MEMORIAL DR STE B
ABILENE, TX
79606

Practice Phone: 325-632-0586
Practice Fax:

Directions to “ LYNSI AUTUMN JOHNSON ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.