MEDICARE: KIAFA 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		AL

General Provider Information

NPI Number	:	1619822111
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIAFA JOHNSON

Provider Business Mailing Address
First Line	:	7108 SOUTH KANNER HWY
Second Line	:
City	:	STUART
State	:	FL
Zip	:	34997
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3966 ATLANTA HWY
Second Line	:	STE 375
City	:	MONTGOMERY
State	:	AL
Zip	:	36109
Country	:	US
Telephone Number	:	855-832-6727
Fax Number	:

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

Provider Enumeration Date	:	02/28/2026
Last Update Date	:	02/28/2026

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Directions to “ KIAFA JOHNSON ” Practice Location

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