Johnson, Teivon

Johnson, Teivon is an sole proprietor health care provider with primary practice located at 12268 Moondance Pl , Waldorf MD 20601-4709. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Johnson, Teivon can be contacted via phone (240) 695-6678.

Contact Information

Primary practice address
12268 Moondance Pl Waldorf MD 20601-4709
Phone: (240) 695-6678
Fax:
Website:
Map and Directions

Health care specialties

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

Profile Details

NPI number 1881395002
LBN Legal business name Johnson, Teivon
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 14th, 2023
Last updated Mar 14th, 2023 - about 3 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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