Individual
TAHEESHA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
615 KINGS CENTER AVE, NORTH LAS VEGAS, NV 89032
(702) 716-8005
Mailing address
615 KINGS CENTER AVE, NORTH LAS VEGAS, NV 89032-1159
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
10/19/2017
Last updated
07/16/2018
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