Johnson, Trace Andrew
Johnson, Trace Andrew is an individual health care provider with primary practice located at 1704 Westland Rd , Cheyenne WY 82001-3322. 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, Trace Andrew can be contacted via phone (605) 271-2690.Contact Information
Primary practice address
1704 Westland Rd
Cheyenne WY 82001-3322
Phone: (605) 271-2690
Fax: (605) 271-3956
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X | RBT-19-103651 | Wyoming |
Profile Details
| NPI number | 1538703434 |
|---|---|
| LBN Legal business name | Johnson, Trace Andrew |
| Credentials | RBT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 4th, 2019 |
| Last updated | Nov 4th, 2019 - about 6 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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