MEDICARE: JOHNNA ALLEN

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	:	1437044245
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHNNA ALLEN

Provider Business Mailing Address
First Line	:	951 20TH ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80202-9998
Country	:	US
Telephone Number	:	720-316-8322
Fax Number	:	575-288-1889

Provider Business Practice Location Address
First Line	:	1519 BLAKE ST
Second Line	:	SUITE 250
City	:	DENVER
State	:	CO
Zip	:	80202-1289
Country	:	US
Telephone Number	:	720-316-8322
Fax Number	:

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

Provider Enumeration Date	:	06/11/2025
Last Update Date	:	06/11/2025

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Directions to “ JOHNNA ALLEN ” Practice Location

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