JOHN DURELL JOHNSON

GULFPORT, MS
NPI1164074969
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
(Licence: MS  RBT-18-51783)
Enumeration Date2019-07-11
Last Update Date2019-07-11
Business Address
JOHN DURELL JOHNSON RBT
9480 THREE RIVERS RD
GULFPORT, MS 39503-4248
Phone number: 228-313-3106
Mailing Address
JOHN DURELL JOHNSON RBT
102 KELLEY CV
PASS CHRISTIAN, MS 39571-2226
Phone number: 504-756-9044