Individual
DANIEL JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BHT
Contact information
Practice address
4343 N 16TH ST, PHOENIX, AZ 85016-5338
(602) 274-4343
(480) 573-3592
Mailing address
4343 N 16TH ST, PHOENIX, AZ 85016-5338
(602) 274-4343
(480) 573-3592
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/18/2022
Last updated
04/18/2022
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