NPI 1023752342

Dexter Johnson

Practitioner Behavior Technician Conway, AR

Practice location

Address: 815 S Donaghey Ave, Conway, AR 72034-6880
Phone: (501) 574-3053
Mailing address: 1601 Hogan Ln APT 1503, Conway, AR 72034-7858

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X

Other Behavior Technician providers in Arkansas →

Registry record

NPI: 1023752342
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Apr 2022
Record last updated: 22 Apr 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.