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NPI Code Detail

MEDICARE: VAUN JOHNSON MED, BCBA

MEDICARE:   VAUN  JOHNSON  MED, BCBA
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

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1942619044
Entity Type Code : Individual
Provider Name (Legal Business Name) : VAUN JOHNSON MED, BCBA
Provider Business Mailing Address
First Line : 1105 W RUSSELL ST
Second Line :
City : SIOUX FALLS
State : SD
Zip : 57104
Country : UM
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1026 PATHFINDER WAY
Second Line :
City : ROCKLEDGE
State : FL
Zip : 32955-3216
Country : US
Telephone Number : 321-655-5880
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/04/2014
Last Update Date : 06/19/2025

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Directions to “ VAUN JOHNSON MED, BCBA” Practice Location

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