Individual
BLAIKE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
152 BRAND STE 200, MURPHY, TX 75094-3748
(469) 596-6710
Mailing address
16800 DALLAS PKWY STE 200, DALLAS, TX 75248-1961
(469) 596-6710
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
12/16/2019
Last updated
12/16/2019
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