Idris Johnson

NPI #1144511536 in Reno, Nevada

Provider Information

NPI Number: 1144511536
Entity Type: Individual
Name: Idris Johnson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Analyst
Enumeration Date: Apr 20, 2011
Last Updated: Apr 20, 2011

Practice Location

Address: 63 KEYSTONE AVE
Address 2: 304
City: Reno
State: Nevada
ZIP Code: 89503-5577
Phone: (775) 333-5222

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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