NPI 1457655623

Alvin Edward Johnson, BSCRIMINALJUSTICE

Practitioner Day Training/Habilitation Specialist Kansas City, KS

Practice location

Address: 9003 Barnett Ave., Kansas City, KS 66112
Phone: (913) 486-0472

Registered specialties (2)

Day Training/Habilitation Specialist Primary

Nursing Service Related Providers Taxonomy 373H00000X

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Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

Residential Treatment Facilities Taxonomy 320900000X

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Registry record

NPI: 1457655623
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Jan 2011
Record last updated: 21 Dec 2011

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.