NPI 1003462201
McKenzie Johnson
Practice location
- Address
- 1547 30th Ave S, Moorhead, MN 56560-5149
- Phone
- (218) 287-4338
Registered specialties (3)
Behavior Analyst
Primary
Behavior Analyst
Specialist
Registry record
- NPI
- 1003462201
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 13 Aug 2019
- Record last updated
- 17 Apr 2023
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.