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NPI Code Detail

MEDICARE: WANDA JOHNSON

MEDICARE: WANDA JOHNSON
Medicare Provider Information

Scope of Practice

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

# Taxonomy Code Taxonomy License Number License Number State
1106E00000XAssistant Behavior Analyst

General Provider Information

NPI Number : 1548114077
Entity Type Code : Individual
Provider Name (Legal Business Name) : WANDA JOHNSON
Provider Business Mailing Address
First Line : 2831 ELDORADO PKWY
Second Line :
City : FRISCO
State : TX
Zip : 75033-7438
Country : US
Telephone Number : 214-778-1153
Fax Number :
Provider Business Practice Location Address
First Line : 2831 ELDORADO PKWY
Second Line :
City : FRISCO
State : TX
Zip : 75033-7438
Country : US
Telephone Number : 214-778-1153
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/23/2026
Last Update Date : 02/23/2026

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Directions to “ WANDA JOHNSON ” Practice Location

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