| Robert Johnson | |
|
57 Starr Valley Street Deeth NV 89823 | |
| (775) 752-3695 | |
| Not Available |
| Full Name | Robert Johnson |
|---|---|
| Speciality | Behavior Analyst |
| Location | 57 Starr Valley Street, Deeth, Nevada |
| Authorized Official Name and Position | Robert Lauran Johnson (BEHAVIOR ANALYST) |
| Authorized Official Contact | 7757523695 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert Johnson 57 Starr Valley Street Deeth NV 89823 Ph: (775) 752-3695 | Robert Johnson 57 Starr Valley Street Deeth NV 89823 Ph: (775) 752-3695 |
| NPI Number | 1902180524 |
|---|---|
| Provider Enumeration Date | 09/30/2011 |
| Last Update Date | 09/30/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902180524 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | LBAT042222 (Nevada) | 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 Bcba Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1900 Dennis Flat Rd, Deeth, NV 89823 Phone: 775-340-8580 |