Paige Marie Johnson
Behavior Technician in Prudenville, MI. Individual provider (NPI-1).
NPI number1194479477
StatusActive
Last updated in NPPESFeb 7, 2022
Details
- NPI
- 1194479477
- Entity type
- Individual (NPI-1)
- Name
- Paige Marie Johnson
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 7, 2022
- Certification date
- Feb 7, 2022
- Last updated
- Feb 7, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
1070 W Houghton Lake DrPrudenville, MI 48651-9613
Phone 989-202-4900
Mailing address
125 Rivers RdGladwin, MI 48624-8392
Phone 989-487-9372
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All 159 Behavior Technician providers in Prudenville · All 230 providers in Prudenville
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