IndividualActive
Hassan Johnson
NPI 1104339365 · Day Training/Habilitation Specialist · Kansas City, MO
Provider details
- NPI number
- 1104339365
- Entity type
- Individual
- Primary specialty
- Day Training/Habilitation SpecialistNursing Service Related Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Nursing Service Related Providers
Practice location
7630 E 79th St Unit 702
Kansas City, MO 64138-1453
Phone: (832) 997-4539
Approximate (ZIP-level) locationGet directions
Mailing address
7630 E 79th St Unit 702
Kansas City, MO 64138-1453
Additional practice locations (1)
- 3600 College Park Dr Apt 5301The Woodlands, TX 77384-4681Phone: (832) 997-4539
Registry dates
- Enumerated
- 2017-11-09
- Last updated
- 2020-09-04
- Certified
- 2020-09-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.