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NPI Code Detail

MEDICARE: AMBER JOHNSON

MEDICARE: AMBER 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
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1225434186
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMBER JOHNSON
Provider Business Mailing Address
First Line : 690 E PATRIOT BLVD APT 355
Second Line :
City : RENO
State : NV
Zip : 89511-1246
Country : US
Telephone Number : 405-693-3277
Fax Number :
Provider Business Practice Location Address
First Line : 1101 W MOANA LN STE 2
Second Line :
City : RENO
State : NV
Zip : 89509-4734
Country : US
Telephone Number : 775-337-2394
Fax Number : 775-337-9570
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/05/2014
Last Update Date : 11/05/2014

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Directions to “ AMBER JOHNSON ” Practice Location

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