MEDICARE: RHONDA P JOHNSON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number State
1	103K00000X	Behavior Analyst
2	171M00000X	Case Manager/Care Coordinator
3	103K00000X	Behavior Analyst	TX

General Provider Information

NPI Number	:	1023837291
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RHONDA P JOHNSON

Provider Business Mailing Address
First Line	:	3106 N WINFREE ST
Second Line	:
City	:	DAYTON
State	:	TX
Zip	:	77535-1548
Country	:	US
Telephone Number	:	832-434-1797
Fax Number	:

Provider Business Practice Location Address
First Line	:	3106 N WINFREE ST
Second Line	:
City	:	DAYTON
State	:	TX
Zip	:	77535-1548
Country	:	US
Telephone Number	:	832-434-1797
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/07/2024
Last Update Date	:	05/05/2025

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Directions to “ RHONDA P JOHNSON ” Practice Location

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