Chad Johnson
Behavior Technician in Farmington Hills, MI. Individual provider (NPI-1).
NPI number1811710254
StatusActive
Last updated in NPPESDec 8, 2025
Details
- NPI
- 1811710254
- Entity type
- Individual (NPI-1)
- Name
- Chad Johnson
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 4, 2024
- Certification date
- Dec 8, 2025
- Last updated
- Dec 8, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
| 175T00000X | Peer Specialist | 24-CRM-3422 | OR |
Practice location
27777 Inkster Rd Ste 100Farmington Hills, MI 48334-5312
Phone 855-772-8847
Mailing address
27777 Inkster Rd Ste 100Farmington Hills, MI 48334-5312
Phone 855-772-8847
Other practice locations
4600 25th Ave Ne
Salem, OR 97301-0338
Salem, OR 97301-0338
Phone 503-836-7590
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