Individual
AMELIA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6816 DELTA RIVER DR, LANSING, MI 48906-9002
(248) 890-9272
Mailing address
480 PINEVIEW DR, LAKE ODESSA, MI 48849-6211
(616) 755-0256
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/03/2025
Last updated
07/03/2025
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