Individual
TERRANCE DUANE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2399 E WALTON BLVD, AUBURN HILLS, MI 48326-1955
(947) 226-8315
Mailing address
2399 E WALTON BLVD, AUBURN HILLS, MI 48326-1955
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/25/2018
Last updated
08/13/2024
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