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NPI Code Detail

MEDICARE: ELIAS KANE JOHNSON

MEDICARE: ELIAS KANE 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
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1104767714
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIAS KANE JOHNSON
Provider Business Mailing Address
First Line : 16400 VENTURA BLVD STE 327
Second Line :
City : ENCINO
State : CA
Zip : 91436-2190
Country : US
Telephone Number : 747-221-4222
Fax Number :
Provider Business Practice Location Address
First Line : 16400 VENTURA BLVD STE 327
Second Line :
City : ENCINO
State : CA
Zip : 91436-2190
Country : US
Telephone Number : 747-221-4222
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/06/2026
Last Update Date : 04/06/2026

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Directions to “ ELIAS KANE JOHNSON ” Practice Location

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