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

Mr. Timothy Oliver Johnson Jr.

Individual provider Community/Behavioral Health Agency · NPI 1558193938

Mr. Timothy Oliver Johnson Jr. is a Community/Behavioral Health Agency in Fairbanks, Alaska. Licensed in Alaska. Registered with an NPI since 2024.

Licensed in
AK
In the registry since
2024

Practice location Address checks out

513 12th Ave
Fairbanks, AK 99701-4910
Phone: (907) 456-4610
Show map & directions

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

Specialties & licences

Community/Behavioral Health Agency (primary) Taxonomy 251S00000X (AK)

Record details

NPI number1558193938
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 15, 2024
Last updated in NPPESJuly 15, 2026
Certification dateJuly 15, 2026

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