NPI 1104337930
Taheesha Johnson
Practice location
- Address
- 615 Kings Center Ave, North Las Vegas, NV 89032
- Phone
- (702) 716-8005
- Mailing address
- 615 Kings Center Ave, North Las Vegas, NV 89032-1159
Registered specialties
Day Training/Habilitation Specialist
Primary
Registry record
- NPI
- 1104337930
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 19 Oct 2017
- Record last updated
- 16 Jul 2018
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.