Kirby Johnson

NPI 1922491398 · on the registry since 2015 · sole proprietor

Practice

Address: 3807 N Leavitt St Apt 2
Chicago, IL 60618
Phone: (309) 360-6268
Organisation at this address: Kirby Johnson
Kirby Johnson
Grace Street Counseling Pllc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy: Behavior Analyst
103K00000X
Licence states on file: IL
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2015-03-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois