Individual
MELISSA NICOLE JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
43334 7 MILE RD STE 200, NORTHVILLE, MI 48167-2249
(810) 252-4420
Mailing address
5 REVERE DR STE 120, NORTHBROOK, IL 60062-8005
(847) 306-9843
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
11518081
MI
Other
Enumeration date
09/19/2014
Last updated
03/05/2020
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