Mekdes Masayi Johnson
Behavior Technician in Las Vegas, NV. Individual provider (NPI-1).
NPI number1316631112
StatusActive
Last updated in NPPESJun 5, 2023
Details
- NPI
- 1316631112
- Entity type
- Individual (NPI-1)
- Name
- Mekdes Masayi Johnson
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 5, 2023
- Certification date
- Jun 5, 2023
- Last updated
- Jun 5, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | RBT-3500 | NV | Yes |
Practice location
8270 W Charleston BlvdLas Vegas, NV 89117-1219
Phone 702-350-8175
Mailing address
8270 W Charleston BlvdLas Vegas, NV 89117-1219
Phone 702-350-8175
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