Madison Grace Johansen

NPI #1457211344 in Wyoming, Michigan

Provider Information

NPI Number: 1457211344
Entity Type: Individual
Name: Madison Grace Johansen
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Nov 13, 2025
Last Updated: Nov 13, 2025

Practice Location

Address: 2024 HEALTH DR SW STE B
City: Wyoming
State: Michigan
ZIP Code: 49519-9501
Phone: (844) 263-1613

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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