Heide Johnston

NPI #1003464744 in Fort Collins, Colorado

Provider Information

NPI Number: 1003464744
Entity Type: Individual
Name: Heide Johnston
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Aug 27, 2019
Last Updated: Aug 27, 2019

Practice Location

Address: 1613 PROSPECT PKWY
Address 2: SUITE 110
City: Fort Collins
State: Colorado
ZIP Code: 80525-9769
Phone: (303) 989-8169

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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