Whalio Doctors

NPI 1003462201

McKenzie Johnson

Practitioner Behavior Analyst Moorhead, MN

Practice location

Address
1547 30th Ave S, Moorhead, MN 56560-5149
Phone
(218) 287-4338

Registered specialties (3)

Behavior Analyst Primary
Behavioral Health & Social Service Providers Taxonomy 103K00000X Licence L102 (ND)
Behavior Analyst
Behavioral Health & Social Service Providers Taxonomy 103K00000X Licence 1-22-58551
Specialist
Other Service Providers Taxonomy 174400000X

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.