| Robert Johnson Bcba Llc | |
|
524 Commercial St Elko NV 89801-3741 | |
| (971) 248-5575 | |
| (855) 950-0002 |
| Full Name | Robert Johnson Bcba Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 524 Commercial St, Elko, Nevada |
| Authorized Official Name and Position | Robert Lauran Johnson (CEO) |
| Authorized Official Contact | 7753405943 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert Johnson Bcba Llc Po Box 57 Deeth NV 89823-0057 Ph: (775) 752-3695 | Robert Johnson Bcba Llc 524 Commercial St Elko NV 89801-3741 Ph: (971) 248-5575 |
| NPI Number | 1619466851 |
|---|---|
| Provider Enumeration Date | 05/03/2018 |
| Last Update Date | 06/06/2025 |
| Certification Date | 06/06/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619466851 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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