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NPI Code Detail

MEDICARE: ROBERT JOHNSON BCBA LLC

MEDICARE: ROBERT JOHNSON BCBA LLC
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
1251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1619466851
Entity Type Code : Organization
Provider Name (Legal Business Name) : ROBERT JOHNSON BCBA LLC
Provider Business Mailing Address
First Line : PO BOX 57
Second Line :
City : DEETH
State : NV
Zip : 89823-0057
Country : US
Telephone Number : 775-752-3695
Fax Number :
Provider Business Practice Location Address
First Line : 524 COMMERCIAL ST
Second Line :
City : ELKO
State : NV
Zip : 89801-3741
Country : US
Telephone Number : 971-248-5575
Fax Number : 855-950-0002
Authorized Official
Title or Position : CEO
Name : ROBERT LAURAN JOHNSON
Credential : BCBA
Telephone Number : 775-340-5943
Provider Enumeration Date : 05/03/2018
Last Update Date : 06/06/2025

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Directions to “ROBERT JOHNSON BCBA LLC ” Practice Location

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