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Latasha Johnson

Behavior Technician in Lansing, MI. Individual provider (NPI-1).

NPI number1982128237
StatusActive
Last updated in NPPESJul 21, 2022

Details

NPI
1982128237
Entity type
Individual (NPI-1)
Name
Latasha Johnson
Sex
Female
Sole proprietor
No
Enumeration date
Jul 28, 2017
Certification date
Mar 25, 2021
Last updated
Jul 21, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

4000 W Michigan Ave
Lansing, MI 48917-2856

Phone 517-624-2395

Mailing address

Po Box 663
Lakeland, MI 48143-0663

Phone 810-559-2129

Other practice locations

41521 W 11 Mile Rd
Novi, MI 48375-1803

Phone 248-299-0030

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