Johnson, Antonaria Deandra

Johnson, Antonaria Deandra is an sole proprietor health care provider with primary practice located at 1080 Karen Ct Apt 2 , Pahrump NV 89048-5868. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Johnson, Antonaria Deandra can be contacted via phone (775) 419-8894.

Contact Information

Primary practice address
1080 Karen Ct Apt 2 Pahrump NV 89048-5868
Phone: (775) 419-8894
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X NV20201981411 Nevada
Other Service Providers / Case Manager/Care Coordinator 171M00000X NV20201981411 Nevada

Profile Details

NPI number 1881282267
LBN Legal business name Johnson, Antonaria Deandra
Credentials CHW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 1st, 2021
Last updated Nov 7th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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