Iketa Johnson

Behavior Technician · Lawrenceville, GA

Individual Active NPI

NPI number 1013759562

Practice location

1130 Hurricane Shoals Rd NE Ste 1800
Lawrenceville, GA 30043-4849
Phone
(470) 740-0355

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NPI record

NPI
1013759562
Entity type
Individual (Type 1)
Enumeration date
June 6, 2024
Last updated
June 6, 2024
Certified
June 6, 2024
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Technician Primary 106S00000X — —

Mailing address

1228 Cedar Creek Ct NW
Conyers, GA 30012-3518
Phone
(678) 337-2496

About Iketa Johnson

Iketa Johnson is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Technician (code 106S00000X). The practice location is 1130 Hurricane Shoals Rd NE Ste 1800, Lawrenceville, GA 30043-4849. The NPI number 1013759562 was assigned on June 6, 2024 and the record was last updated on June 6, 2024.

Frequently asked questions

What is the NPI number of Iketa Johnson?

The NPI number is 1013759562.

What is the phone number of Iketa Johnson?

The phone number listed for the practice location is (470) 740-0355.

Where is Iketa Johnson located?

1130 Hurricane Shoals Rd NE Ste 1800, Lawrenceville, GA 30043-4849.

What is the taxonomy code for Iketa 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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