Individual
ADRIAN TYLER JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
760 MOUNTAIN VIEW ST, ALTADENA, CA 91001-4925
(626) 798-6793
Mailing address
700 S LAKE ST, BURBANK, CA 91502-2400
(626) 703-2917
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
CA
373H00000X
Day Training/Habilitation Specialist
Primary
—
CA
Other
Enumeration date
05/10/2022
Last updated
06/24/2025
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