Individual
ANDRE TIF JOHNSON II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5305 SPINE RD STE A, BOULDER, CO 80301-3331
(720) 643-2350
Mailing address
21600 OXNARD ST, WOODLAND HILLS, CA 91367-4976
(818) 345-2345
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/08/2020
Last updated
10/08/2020
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