Individual
DILAN ANDRES JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1140 WEST 1130 SOUTH, BUILDING B, OREM, UT 84058-2888
(801) 935-4171
(801) 935-4946
Mailing address
1140 WEST 1130 SOUTH, BUILDING B, OREM, UT 84058-2142
(801) 935-4171
(801) 935-4946
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/18/2019
Last updated
09/18/2019
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