Individual
LATACHIA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
106 THANKFULNESS CT, NORTH LAS VEGAS, NV 89032
(702) 406-3702
Mailing address
2701 N ROCKY POINT DR STE 650, TAMPA, FL 33607-5999
(800) 434-4686
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/10/2018
Last updated
05/22/2018
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