TRAVIS ROLAND JOHNSON

GRAND RAPIDS, MI
NPI1255921946
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy106S00000X Behavior Technician
Additional Taxonomies247200000X Technician, Other
Enumeration Date2021-01-26
Last Update Date2021-05-15
Business Address
TRAVIS ROLAND JOHNSON
2814 WOODCLIFF CIR SE
GRAND RAPIDS, MI 49506-3155
Phone number: 185-583-2672
Mailing Address
TRAVIS ROLAND JOHNSON
7108 S KANNER HWY
STUART, FL 34997-7462
Phone number: