John Durell Johnson, RBT
Behavior Technician in Gulfport, MS. Individual provider (NPI-1).
NPI number1164074969
StatusActive
Last updated in NPPESJul 11, 2019
Details
- NPI
- 1164074969
- Entity type
- Individual (NPI-1)
- Name
- John Durell Johnson
- Credential
- RBT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 11, 2019
- Last updated
- Jul 11, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | RBT-18-51783 | MS | Yes |
Practice location
9480 Three Rivers RdGulfport, MS 39503-4248
Phone 228-313-3106
Mailing address
102 Kelley CvPass Christian, MS 39571-2226
Phone 504-756-9044
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All 224 Behavior Technician providers in Gulfport · All 2,821 providers in Gulfport
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