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

Kelly Bernice Johnson

Individual provider Behavior Technician · NPI 1295545440

Kelly Bernice Johnson is a Behavior Technician in Plymouth, Minnesota. Practices as a sole proprietor. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

3007 Harbor Ln N Ste 1200
Plymouth, MN 55447-5138
Phone: (612) 453-3412
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 number1295545440
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 9, 2025
Last updated in NPPESJanuary 9, 2025
Certification dateJanuary 9, 2025
Mailing address5973 Main St Ne, Fridley, MN 55432-5442

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