Provider Demographics
NPI:1336488451
Name:JOHNSON, PAULA ALGOZZINI (CAS, BCBA, LBA)
Entity Type:Individual
Prefix:
First Name:PAULA
Middle Name:ALGOZZINI
Last Name:JOHNSON
Suffix:
Gender:F
Credentials:CAS, BCBA, LBA
Other - Prefix:
Other - First Name:PAULA
Other - Middle Name:A
Other - Last Name:JOHNSON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MED, LBA, BCBA
Mailing Address - Street 1:8143 NE 98TH TER
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64157-7840
Mailing Address - Country:US
Mailing Address - Phone:816-536-6043
Mailing Address - Fax:
Practice Address - Street 1:8143 NE 98TH TER
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64157-7840
Practice Address - Country:US
Practice Address - Phone:816-536-6043
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-08
Last Update Date:2018-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2015007158103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst