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

Miss. Jelisa Johnson

Individual provider Behavior Technician · NPI 1962094086

Miss. Jelisa Johnson is a Behavior Technician in Wellington, Florida. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

166 Professional Way
Wellington, FL 33414-6391
Phone: (561) 570-1860
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence 37019

Record details

NPI number1962094086
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 10, 2021
Last updated in NPPESFebruary 10, 2021
Certification dateFebruary 10, 2021
Mailing address300 International Pkwy Ste 200, Lake Mary, FL 32746-5028

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