Johnson, Teivon
Johnson, Teivon is an sole proprietor health care provider with primary practice located at 12268 Moondance Pl , Waldorf MD 20601-4709. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Johnson, Teivon can be contacted via phone (240) 695-6678.Contact Information
Primary practice address
12268 Moondance Pl
Waldorf MD 20601-4709
Phone: (240) 695-6678
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X |
Profile Details
| NPI number | 1881395002 |
|---|---|
| LBN Legal business name | Johnson, Teivon |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 14th, 2023 |
| Last updated | Mar 14th, 2023 - about last year |
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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