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NPI Code Detail

MEDICARE: KYLA JOHNSON

MEDICARE:   KYLA  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 : 1649122359
Entity Type Code : Individual
Provider Name (Legal Business Name) : KYLA JOHNSON
Provider Business Mailing Address
First Line : 500 S BURNT MILL RD
Second Line :
City : VOORHEES
State : NJ
Zip : 08043-2205
Country : US
Telephone Number : 888-859-7749
Fax Number : 888-859-7749
Provider Business Practice Location Address
First Line : 500 S BURNT MILL RD
Second Line :
City : VOORHEES
State : NJ
Zip : 08043-2205
Country : US
Telephone Number : 888-859-7749
Fax Number : 888-859-7749
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/13/2026
Last Update Date : 02/13/2026

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Directions to “ KYLA JOHNSON ” Practice Location

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