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

Individual provider Behavior Technician · NPI 1407479256

Carmen Johnson is a Behavior Technician in Jacksonville, Florida. Registered with an NPI since 2020.

In the registry since
2020
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Practice location Address checks out

6196 Lake Gray Blvd Ste 116
Jacksonville, FL 32244-5867
Phone: (800) 356-4049
Fax: (941) 485-0519
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1407479256
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 27, 2020
Last updated in NPPESMay 27, 2020
Certification dateMay 27, 2020
Mailing address5 Revere Dr Ste 120, Northbrook, IL 60062-8005

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