Individual
MEKDES MASAYI JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8270 W CHARLESTON BLVD, LAS VEGAS, NV 89117-1219
(702) 350-8175
Mailing address
8270 W CHARLESTON BLVD, LAS VEGAS, NV 89117-1219
(702) 350-8175
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-3500
NV
Other
Enumeration date
06/05/2023
Last updated
06/05/2023
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