Individual
JOHANNA STEPHENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7401 ROYAL CRYSTAL ST, LAS VEGAS, NV 89149-0168
(608) 490-1052
Mailing address
7401 ROYAL CRYSTAL ST, LAS VEGAS, NV 89149-0168
(608) 490-1052
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/30/2020
Last updated
10/30/2020
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