ANON-MALIK DEREK JOHNSON

SAN ANTONIO, TX
NPI1053127449
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2024-12-10
Last Update Date2024-12-10
Business Address
ANON-MALIK DEREK JOHNSON
835 PROTON RD
SAN ANTONIO, TX 78258-4203
Phone number: 210-610-9175
Mailing Address
ANON-MALIK DEREK JOHNSON
835 PROTON RD
SAN ANTONIO, TX 78258-4203
Phone number: