Individual
ROBERT JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RBT
Contact information
Practice address
1300 E NEW CIRCLE RD STE 150, LEXINGTON, KY 40505-4322
(859) 685-1019
(317) 520-8200
Mailing address
3500 DEPAUW BLVD STE 3070, INDIANAPOLIS, IN 46268-6135
(855) 324-0885
(317) 520-8200
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-207797
KY
Other
Enumeration date
03/23/2022
Last updated
03/23/2022
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