Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dominic Robert Johnson

Individual provider Behavior Technician · NPI 1720696453

Dominic Robert Johnson is a Behavior Technician in San Bruno, California. Licensed in California. Registered with an NPI since 2020.

Licensed in
CA
In the registry since
2020

Practice location Address checks out

1001 Sneath Ln Ste 200
San Bruno, CA 94066-2349
Phone: (650) 243-9849
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X (CA)

Record details

NPI number1720696453
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 20, 2020
Last updated in NPPESJuly 20, 2020
Certification dateJuly 20, 2020
Mailing address328 19th Ave, San Francisco, CA 94121-2305

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