Individual
EDWARD ROBERT JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
WEST 6TH AVENUE SUITE 1000, LAKEWOOD, CO 80215-8021
(303) 233-3122
Mailing address
9664 CHANTECLAIR CIR, HIGHLANDS RANCH, CO 80126-3052
(574) 540-9705
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
CO
Other
Enumeration date
06/17/2019
Last updated
06/17/2019
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