DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

RAEKWON DOMANIC JOHNSON

Active

RAEKWON DOMANIC JOHNSON is a Behavior Technician healthcare provider located in MONUMENT, Colorado. NPI 1215641253 is currently active in the NPPES registry. Verify at CMS.

Behavior Technician · MONUMENT, CO

Registration Details

NPI Number
1215641253
Provider Type
Individual
Gender
Male
NPI Issued
Jan 12, 2023 (3.591298266428 yrs)
Last Updated
Jan 12, 2023

Practice Information

Address
17230 JACKSON CREEK PKWY
MONUMENT, CO, 801327301
Browse CO providers · Browse ZIP 80132
Phone
7194883348
Primary Specialty
Behavior Technician
106S00000X

Other Behavior Technician Providers in MONUMENT, CO

Name Credential NPI
SARAH MILLER 1710493473
ALEXI BOWLES 1174039838
JORDAN RAMOS 1538675202
BROOKE SNYDER 1659887305
COURTNEY HOPKINS 1578079224
ANDI MARCHANT 1154837821
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.