DYLAN WOLFGANG JOHNSON

EDGEWOOD, KY
NPI1699337261
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
(Licence:   RBT-19-91053)
Enumeration Date2019-07-03
Last Update Date2019-07-03
Business Address
DYLAN WOLFGANG JOHNSON MSOT, RBT
2904 FOLTZ DR
EDGEWOOD, KY 41017-2525
Phone number: 859-795-3000
Mailing Address
DYLAN WOLFGANG JOHNSON MSOT, RBT
3500 DEPAUW BLVD STE 3070
INDIANAPOLIS, IN 46268-6135
Phone number: 855-324-0885