Individual
DANI JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
272 N BROADWAY ST, TOOELE, UT 84074-2244
(435) 241-4107
Mailing address
398 W VINE ST, TOOELE, UT 84074-2012
(435) 496-4277
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
UT
Other
Enumeration date
01/03/2024
Last updated
01/03/2024
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