Individual
KENT EVAN JOHNSON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2500 WILSHIRE BLVD, LOS ANGELES, CA 90057-4303
(213) 380-9531
Mailing address
2500 WILSHIRE BLVD, LOS ANGELES, CA 90057
(213) 380-9531
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
251B00000X
Case Management Agency
Primary
1568648590
CA
Other
Enumeration date
10/21/2008
Last updated
10/21/2008
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