Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DOMINIC IDRIS JOHNSON
ActiveDOMINIC IDRIS JOHNSON is a Behavior Analyst healthcare provider located in VALLEJO, California. NPI 1104393149 is currently active in the NPPES registry. Verify at CMS.
Behavior Analyst · VALLEJO, CA
Registration Details
- NPI Number
- 1104393149
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 29, 2018 (7.7642076241915 yrs)
- Last Updated
- Oct 29, 2018
Practice Information
- Address
-
150 GLEN COVE MARINA RD E STE 102VALLEJO, CA, 945917237Browse CA providers · Browse ZIP 94591
- Phone
- 7075531784
- Primary Specialty
-
Behavior Analyst
103K00000X
Other Behavior Analyst Providers in VALLEJO, CA
| Name | Credential | NPI |
|---|---|---|
| ROSS WOODS | M.A., B.C.B.A. | 1871834283 |
| ROSE ANNE FABILLAR | — | 1730545005 |
| MRS. KATHRYNN PARNOW | BCBA, MFTI | 1952767436 |
| DINA PADILLA | — | 1881050219 |
| GINA ROSSOW | — | 1679939060 |
| GLORILYN GOROSPE | RBT | 1700243136 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.