Individual provider · Type 1 NPI

Kaneesha Johnson

Day Training/Habilitation Specialist · Long Beach, CA

NPI number 1720578552 Active

Practice location

1501 Hughes Way Ste 150
Long Beach, CA 90810-1878

Call (310) 221-6336 Map

Other practice locations

  • 4211 Avalon Blvd, Los Angeles, CA 90011-5622 · (323) 233-0425

Specialties and licenses

TaxonomyCodeLicense
Community Health Worker 172V00000XNone listed
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Day Training/Habilitation Specialist Primary 373H00000XNone listed

Day Training/Habilitation Specialist: Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living.

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About NPI 1720578552

Kaneesha Johnson's National Provider Identifier is 1720578552, issued on May 17, 2018. The primary taxonomy on file is Day Training/Habilitation Specialist (373H00000X), and the practice location is in Long Beach, CA. The record was last updated on May 7, 2025.