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

Kelli Johnson

Individual provider Behavior Technician · NPI 1619618881

Kelli Johnson is a Behavior Technician in Myrtle Beach, South Carolina. Practices as a sole proprietor. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
2
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Practice location Address checks out

604 Heathrow Dr Unit 1095
Myrtle Beach, SC 29579
Phone: (740) 645-7688
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X
Behavior Technician Taxonomy 106S00000X

Record details

NPI number1619618881
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 4, 2022
Last updated in NPPESMay 18, 2023
Certification dateMay 18, 2023
Mailing address730 Main St # 230, North Myrtle Beach, SC 29582-3030

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