| Robert Johnson Bcba | |
|
1900 Dennis Flat Rd Deeth NV 89823-2020 | |
| (775) 340-8580 | |
| Not Available |
| Full Name | Robert Johnson Bcba |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1900 Dennis Flat Rd, Deeth, Nevada |
| Authorized Official Name and Position | Robert L Johnson (OWNER) |
| Authorized Official Contact | 7753405943 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert Johnson Bcba Po Box 57 Deeth NV 89823-0057 Ph: (775) 340-8580 | Robert Johnson Bcba 1900 Dennis Flat Rd Deeth NV 89823-2020 Ph: (775) 340-8580 |
| NPI Number | 1780446369 |
|---|---|
| Provider Enumeration Date | 01/29/2024 |
| Last Update Date | 01/29/2024 |
| Certification Date | 01/25/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780446369 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Nevada Behavior And Autism Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1900 Dennis Flat Road, Deeth, NV 89823 Phone: 775-752-3695 | |
Robert Johnson Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 57 Starr Valley Street, Deeth, NV 89823 Phone: 775-752-3695 |