Individual
DONALD WAYNE JOHNSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2421 TECH CENTER CT, STE 108, LAS VEGAS, NV 89128-0804
(702) 245-1567
Mailing address
841 YACHT HARBOR DR, LAS VEGAS, NV 89145-2917
(702) 245-1567
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
02/27/2013
Last updated
01/02/2017
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