Individual
ERIC M JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1620 N 171ST ST, OMAHA, NE 68118-2808
(402) 681-7015
Mailing address
15315 WILLIT ST, BENNINGTON, NE 68007-5458
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
03/20/2025
Last updated
03/20/2025
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