Individual
EMILY BRIANNE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED,BCBA, LBA
Contact information
Practice address
3949 N RIVER RD, FREELAND, MI 48623-8856
(989) 702-2082
Mailing address
6040 BAY VALLEY RD, BAY CITY, MI 48706-9056
(989) 928-8413
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-50978
MI
106S00000X
Behavior Technician
RBT-17-35390
MI
Other
Enumeration date
06/02/2017
Last updated
01/02/2023
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