MEDICARE: AALIAH INEZ 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		TX

General Provider Information

NPI Number	:	1962347187
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AALIAH INEZ JOHNSON

Provider Business Mailing Address
First Line	:	305 PALM SHORES DR APT B102
Second Line	:
City	:	LA JOYA
State	:	TX
Zip	:	78560-4301
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2010 S CYNTHIA ST STE 103
Second Line	:
City	:	MCALLEN
State	:	TX
Zip	:	78503-1387
Country	:	US
Telephone Number	:	210-447-0039
Fax Number	:

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

Provider Enumeration Date	:	04/22/2026
Last Update Date	:	04/22/2026

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Directions to “ AALIAH INEZ JOHNSON ” Practice Location

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