Individual
SIMONE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10651 FORUM PEAK LN, LAS VEGAS, NV 89166-5039
(702) 766-9414
Mailing address
10651 FORUM PEAK LN, LAS VEGAS, NV 89166-5039
(702) 766-9414
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
06/02/2025
Last updated
06/02/2025
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