Most Relevant Information
Provider Data
| NPI Number: | 1003356585 |
| Provider Name: | BILLY JOHNSTON |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/02/2017 |
| Last Updated: | 02/05/2018 |
Provider Practice Location
2745 W 60TH PL
APT 102
HIALEAH
FL
330165972
Practice Location Phone/Fax
| Phone: | 7868381709 |
| Fax: |
Provider Mailing Location
2745 W 60TH PL
APT 102
HIALEAH
FL
330165972
Provider Mailing Phone/Fax
| Phone: | 7868381709 |
| Fax: |