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NPI Code Detail

MEDICARE: JEMIRA JOHNSON JOHNSON

MEDICARE: JEMIRA JOHNSON 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
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1790624732
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEMIRA JOHNSON JOHNSON
Provider Business Mailing Address
First Line : 9970 CENTRAL PARK BLVD N STE 401
Second Line :
City : BOCA RATON
State : FL
Zip : 33428-2252
Country : US
Telephone Number : 855-444-5664
Fax Number :
Provider Business Practice Location Address
First Line : 9970 CENTRAL PARK BLVD N STE 401
Second Line :
City : BOCA RATON
State : FL
Zip : 33428-2252
Country : US
Telephone Number : 855-444-5664
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/26/2026
Last Update Date : 03/26/2026

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Directions to “ JEMIRA JOHNSON JOHNSON ” Practice Location

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