Keegan Johnson

NPI #1396272126 in Byron Center, Michigan

Provider Information

NPI Number: 1396272126
Entity Type: Individual
Name: Keegan Johnson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: May 11, 2017
Last Updated: May 11, 2017

Practice Location

Address: 1677 MORNING DEW DR SW
City: Byron Center
State: Michigan
ZIP Code: 49315-8440
Phone: (616) 644-2279

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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