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

Mackenzie Walter Johnson

Individual provider Day Training/Habilitation Specialist · NPI 1114893757

Mackenzie Walter Johnson is a Day Training/Habilitation Specialist in Fresno, California. Licensed in California. Registered with an NPI since 2025.

Licensed in
CA
In the registry since
2025

Practice location Address checks out

496 S Barton Ave
Fresno, CA 93702-2985
Phone: (559) 860-4422
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Day Training/Habilitation Specialist (primary) Taxonomy 373H00000X (CA)

Record details

NPI number1114893757
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 13, 2025
Last updated in NPPESOctober 13, 2025
Certification dateOctober 12, 2025
Mailing address496 S Barton Ave, Fresno, CA 93702-2985

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