Taheesha Johnson
Day Training/Habilitation Specialist in North Las Vegas, NV. Individual provider (NPI-1).
NPI number1104337930
StatusActive
Last updated in NPPESJul 16, 2018
Details
- NPI
- 1104337930
- Entity type
- Individual (NPI-1)
- Name
- Taheesha Johnson
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 19, 2017
- Last updated
- Jul 16, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 373H00000X | Day Training/Habilitation Specialist | – | – | Yes |
Practice location
615 Kings Center AveNorth Las Vegas, NV 89032
Phone 702-716-8005
Mailing address
615 Kings Center AveNorth Las Vegas, NV 89032-1159
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