Frederick Johnson IV
Behavior Technician in Farmington Hills, MI. Individual provider (NPI-1).
NPI number1982182960
StatusActive
Last updated in NPPESMar 16, 2022
Details
- NPI
- 1982182960
- Entity type
- Individual (NPI-1)
- Name
- Mr. Frederick Johnson IV
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 1, 2018
- Certification date
- Mar 16, 2022
- Last updated
- Mar 16, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | VA | Yes |
Other names
- Freddie Johnson (Other Name)
Practice location
27777 Inkster Rd Ste 100Farmington Hills, MI 48334-5312
Phone 248-256-5214
Mailing address
21600 Oxnard St Ste 1800Woodland Hills, CA 91367-7807
Phone 818-345-2345
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