Johnson, Antaniece

Johnson, Antaniece is an individual health care provider with primary practice located at 21505 N 78Th Ave Suite 125, Peoria AZ 85382-3356. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Johnson, Antaniece can be contacted via phone (303) 989-8169.

Contact Information

Primary practice address
21505 N 78Th Ave Suite 125 Peoria AZ 85382-3356
Phone: (303) 989-8169
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1629616313
LBN Legal business name Johnson, Antaniece
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2019
Last updated Dec 13th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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