Candace Johnson

Behavior Technician · Fort Wayne, IN

Individual Active NPI

NPI number 1003613118

Practice location

4410 Executive Blvd
Fort Wayne, IN 46808-1135
Phone
(888) 515-1793

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NPI record

NPI
1003613118
Entity type
Individual (Type 1)
Enumeration date
February 26, 2025
Last updated
February 26, 2025
Certified
February 26, 2025
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Technician Primary 106S00000X — —

Mailing address

8413 Spyglass Dr
Indianapolis, IN 46260-1937

About Candace Johnson

Candace Johnson is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Technician (code 106S00000X). The practice location is 4410 Executive Blvd, Fort Wayne, IN 46808-1135. The NPI number 1003613118 was assigned on February 26, 2025 and the record was last updated on February 26, 2025.

Frequently asked questions

What is the NPI number of Candace Johnson?

The NPI number is 1003613118.

What is the phone number of Candace Johnson?

The phone number listed for the practice location is (888) 515-1793.

Where is Candace Johnson located?

4410 Executive Blvd, Fort Wayne, IN 46808-1135.

What is the taxonomy code for Candace Johnson?

The primary taxonomy code is 106S00000X – Behavior Technician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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