Individual
JOHNNY HUDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
21505 N 78TH AVE STE 125, PEORIA, AZ 85382-3356
(602) 535-8341
Mailing address
2133 E HOWE AVE, TEMPE, AZ 85281-4805
(602) 702-8354
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/17/2018
Last updated
12/17/2018
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