Autumn Johnson

NPI #1003396912 in Novi, Michigan

Provider Information

NPI Number: 1003396912
Entity Type: Individual
Name: Autumn Johnson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Aug 20, 2018
Last Updated: Aug 20, 2018

Practice Location

Address: 41521 W 11 MILE RD
City: Novi
State: Michigan
ZIP Code: 48375-1803
Phone: (248) 912-1640

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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