Most Relevant Information
Provider Data
| NPI Number: | 1003571381 |
| Provider Name: | JOHNNY WESLEY NEW |
| Entity Type: | Individual |
| Taxonomy Code: | 106E00000X |
| Specialty: | Assistant Behavior Analyst |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/02/2021 |
| Last Updated: | 02/06/2024 |
Provider Practice Location
111 E 5600 S STE 110
MURRAY
UT
841078153
Practice Location Phone/Fax
| Phone: | 8663752437 |
| Fax: |
Provider Mailing Location
111 E 5600 S STE 110
MURRAY
UT
841078153
Provider Mailing Phone/Fax
| Phone: | 8663752437 |
| Fax: |