Provider Demographics
NPI:1053065326
Name:JOHNSON, MAKENNA (BCABA)
Entity type:Individual
Prefix:
First Name:MAKENNA
Middle Name:
Last Name:JOHNSON
Suffix:
Gender:F
Credentials:BCABA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1710 MANOR HILL RD
Mailing Address - Street 2:
Mailing Address - City:FINDLAY
Mailing Address - State:OH
Mailing Address - Zip Code:45840-6600
Mailing Address - Country:US
Mailing Address - Phone:567-525-4060
Mailing Address - Fax:567-429-2041
Practice Address - Street 1:1710 MANOR HILL RD
Practice Address - Street 2:
Practice Address - City:FINDLAY
Practice Address - State:OH
Practice Address - Zip Code:45840-6600
Practice Address - Country:US
Practice Address - Phone:567-525-4060
Practice Address - Fax:567-429-2041
Is Sole Proprietor?:No
Enumeration Date:2022-02-07
Last Update Date:2025-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRBT-22-202310106S00000X
OH0-25-16203103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician