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

Carly Johnson

Individual provider Behavior Technician · NPI 1366055980

Carly Johnson is a Behavior Technician in Orange Park, Florida. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

1701 Smith St
Orange Park, FL 32073-4820
Phone: (904) 305-2069
Fax: (904) 342-1430
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 number1366055980
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 24, 2020
Last updated in NPPESAugust 24, 2020
Certification dateAugust 24, 2020
Mailing address113 Mahogany Bay Dr, Saint Johns, FL 32259-6949

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