Johnna Broadnax
NPI #1104648708 in East Lansing, Michigan
Provider Information
- NPI Number
- 1104648708
- Entity Type
- Individual
- Name
- Johnna Broadnax
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Behavior Technician
- Enumeration Date
- Oct 26, 2024
- Last Updated
- Oct 26, 2024
Practice Location
- Address
- 1302 PORTAGE PATH
- City
- East Lansing
- State
- Michigan
- ZIP Code
- 48823-2034
- Phone
- (616) 634-2923
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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