Individual
TARA LYNN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5659 DUNCAN DR, LAS VEGAS, NV 89130-2811
(702) 385-2020
(702) 658-6608
Mailing address
935 CLIPPER DR, HENDERSON, NV 89015-5648
(702) 485-8358
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
05/15/2013
Last updated
01/22/2015
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