Anon-Malik Johnson

NPI 1053127449 · on the registry since 2024

Practice

Address: 835 Proton Rd
San Antonio, TX 78258
Phone: (210) 610-9175
Organisation at this address: Progessive Life
Enhanced Living Services
Enhanced Living Services
Enhanced Living Services Ltd
Enhanced Living Services Ltd
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 27

Registry record

Primary taxonomy: Behavior Technician
106S00000X
Licence states on file: TX
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2024-12-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas