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Individual

KEVIN JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2500 W WASHINGTON AVE, LAS VEGAS, NV 89106-3731
(702) 857-8800
Mailing address
3321 N BUFFALO DR, LAS VEGAS, NV 89129-6678

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
10/26/2023
Last updated
10/26/2023
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