DOMINIC IDRIS JOHNSON

VALLEJO, CA
NPI1104393149
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103K00000X Behavior Analyst
Enumeration Date2018-10-29
Last Update Date2018-10-29
Business Address
DOMINIC IDRIS JOHNSON
150 GLEN COVE MARINA RD E STE 102
VALLEJO, CA 94591-7237
Phone number: 707-553-1784
Mailing Address
DOMINIC IDRIS JOHNSON
2157 HILLRIDGE DR
FAIRFIELD, CA 94534-7950
Phone number: 707-344-1611