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

Grady Patrick Johnson

Individual provider Behavior Technician · NPI 1790669026

Grady Patrick Johnson is a Behavior Technician in San Fernando, California. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

11487 San Fernando Rd
San Fernando, CA 91340-3406
Phone: (747) 258-9293
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 number1790669026
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 31, 2025
Last updated in NPPESAugust 20, 2025
Certification dateAugust 20, 2025

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