Individual
KLARENCE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
32100 TELEGRAPH RD, BINGHAM, MI 48025
(248) 712-4266
Mailing address
32100 TELEGRAPH RD, BINGHAM FARMS, MI 48025-2452
(248) 712-4266
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
156F00000X
Technician/Technologist
Primary
—
—
Other
Enumeration date
09/28/2018
Last updated
03/19/2026
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