Individual
MR. LEVON JOHNSON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S
Contact information
Practice address
1155 CULLY RD, CORDOVA, TN 38018-8502
(901) 870-2292
Mailing address
7970 CATES CV, APT 302, CORDOVA, TN 38016-1349
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NONE
—
TN
Enumeration date
05/13/2013
Last updated
05/13/2013
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