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

Kenyana T Johnson, DEVELOPMENTALTHERAP

Individual provider Developmental Therapist · NPI 1710202361

Kenyana T Johnson, DEVELOPMENTALTHERAP is a Developmental Therapist in Calumet Park, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2010

Practice location Address checks out

12620 S Wood St
Calumet Park, IL 60827-5916
Phone: (708) 955-4509
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Developmental Therapist (primary) Taxonomy 222Q00000X (IL)

Record details

NPI number1710202361
Entity typeIndividual (Type 1)
GenderFemale
Credentials DEVELOPMENTALTHERAP
Sole proprietorYes
NPI enumeratedApril 6, 2010
Last updated in NPPESApril 6, 2010

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