Travis Roland Johnson
Travis Roland Johnson is an Other Technician in Grand Rapids, Michigan. Practices as a sole proprietor. Registered with an NPI since 2021.
- In the registry since
- 2021
- Specialties on file
- 2
Practice location Address checks out
2814 Woodcliff Cir SEGrand Rapids, MI 49506-3155
Phone: (185) 583-2672
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|---|
| Other Technician | Taxonomy 247200000X |
Record details
| NPI number | 1255921946 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | January 26, 2021 |
| Last updated in NPPES | May 15, 2021 |
| Certification date | May 15, 2021 |
| Mailing address | 7108 S Kanner Hwy, Stuart, FL 34997-7462 |
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