NPI 1013433846

Miranda L Johnson, BCABA

Practitioner Assistant Behavior Analyst Brimley, MI

Practice location

Address: 9280 S Midway Rd, Brimley, MI 49715-9223
Phone: (906) 630-0983

Registered specialties

Assistant Behavior Analyst Primary

Behavioral Health & Social Service Providers Taxonomy 106E00000X Licence 0-17-7940 (MI)

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Registry record

NPI: 1013433846
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 Aug 2017
Record last updated: 14 Aug 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.