Individual
JAIDYN KADE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4084 REGENT DR, WICHITA FALLS, TX 76308-1508
(940) 704-8778
Mailing address
4084 REGENT DR, WICHITA FALLS, TX 76308-1508
(940) 704-8778
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
04/12/2021
Last updated
04/12/2021
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