Individual
LAUREN M JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13412 W STAR DR, SHELBY TOWNSHIP, MI 48315-2705
(586) 251-2556
Mailing address
13412 W STAR DR, SHELBY TOWNSHIP, MI 48315-2705
(586) 251-2556
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
156F00000X
Technician/Technologist
—
—
Other
Enumeration date
09/08/2020
Last updated
10/07/2024
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