Adam Tyler Johnson

NPI #1144010943 in Boise, Idaho

Provider Information

NPI Number: 1144010943
Entity Type: Individual
Name: Adam Tyler Johnson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: May 7, 2025
Last Updated: May 7, 2025

Practice Location

Address: 7291 W CASCADE DR
City: Boise
State: Idaho
ZIP Code: 83704-8635
Phone: (317) 604-3156

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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