WANDA BRESHAE JOHNSON
NPI 1649819129
Day Training/Habilitation Specialist in Columbus, GA

Active since December 31, 2019
506 MANCHESTER EXPY STE A13, COLUMBUS, GA 31904(706) 653-9343 Get Directions Write a Review

NPPES record last updated: December 31, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Wanda Breshae Johnson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WANDA BRESHAE JOHNSON (NPI 1649819129) is an individual day training/habilitation specialist in Columbus, Georgia and active in the NPI registry since December 2019.

NPPES Registry Identity

NPI1649819129
Entity TypeIndividualFemale
Primary Taxonomy373H00000X
Provider Legal NameWANDA BRESHAE JOHNSON
Location Address506 MANCHESTER EXPY STE A13Columbus, GA 31904-6483
Mailing Address919 Lawyers LnColumbus, GA 31906-3129 · Fax (706) 653-9242
Sole ProprietorYes
Enumeration DateDecember 31, 2019
NPI 1649819129 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDay Training/Habilitation SpecialistNursing Service Related Providers
Taxonomy Code373H00000X
Definition

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.

506 MANCHESTER EXPY STE A13, Columbus, GA 31904

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Day Training, Developmentally Disabled Services
506 MANCHESTER EXPY STE A13
COLUMBUS, GA 31904
Day Training, Developmentally Disabled Services
506 MANCHESTER EXPY STE A13
COLUMBUS, GA 31904

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1649819129, enumerated as an "individual" on December 31, 2019.

The provider is located at 506 MANCHESTER EXPY STE A13 COLUMBUS, GA 31904 and the phone number is (706) 653-9343.

Day Training/Habilitation Specialist with taxonomy code 373H00000X.