Individual
DOUGLAS WILLIAM JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1100 HAXTON DR UNIT 115, FORT COLLINS, CO 80525-6213
(970) 305-8642
Mailing address
1100 HAXTON DR UNIT 115, FORT COLLINS, CO 80525-6213
(970) 305-8642
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/19/2019
Last updated
03/19/2019
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