Individual
MAKENZIE JOHNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
53869 CONNOR DR, CHESTERFIELD, MI 48051-3930
(312) 914-0611
Mailing address
43431 CLAREMONT DR E # 137, CLINTON TOWNSHIP, MI 48038-3578
(419) 572-1588
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-17-25090
—
Other
Enumeration date
04/05/2017
Last updated
04/05/2017
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