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Individual

MR. CHASE JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1500 E TROPICANA AVE, LAS VEGAS, NV 89119-6514
(919) 637-5277
Mailing address
3970 PALOS VERDES ST, LAS VEGAS, NV 89119-6999
(919) 525-8841

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
06/26/2020
Last updated
06/26/2020
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