Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Candace Johnson

Individual provider Behavior Technician · NPI 1003613118

Candace Johnson is a Behavior Technician in Fort Wayne, Indiana. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

4410 Executive Blvd
Fort Wayne, IN 46808-1135
Phone: (888) 515-1793
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1003613118
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 26, 2025
Last updated in NPPESFebruary 26, 2025
Certification dateFebruary 26, 2025
Mailing address8413 Spyglass Dr, Indianapolis, IN 46260-1937

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