GARY JOHNSON

SALT LAKE CITY, UT
NPI1649885575
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies106S00000X Behavior Technician
Enumeration Date2020-09-08
Last Update Date2021-09-24
Business Address
GARY JOHNSON
4460 S HIGHLAND DR
SALT LAKE CITY, UT 84124-3543
Phone number: 888-949-4864
Mailing Address
GARY JOHNSON
4460 S HIGHLAND DR
SALT LAKE CITY, UT 84124-3543
Phone number: 888-949-4864