Individual
MR. CARL M JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
TRPC, CPSS, BHT
Contact information
Practice address
8523 E LINDNER AVE, MESA, AZ 85209-4375
(480) 740-4976
Mailing address
8523 E LINDNER AVE, MESA, AZ 85209-4375
(480) 740-4976
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/16/2022
Last updated
12/16/2022
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