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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JOHNNA BROADNAX

Active Sole Proprietor

JOHNNA BROADNAX is a Behavior Technician healthcare provider located in EAST LANSING, Michigan. NPI 1104648708 is currently active in the NPPES registry. Verify at CMS.

Behavior Technician · EAST LANSING, MI

Registration Details

NPI Number
1104648708
Provider Type
Individual
Gender
Female
NPI Issued
Oct 26, 2024 (1.7557476529132 yrs)
Last Updated
Oct 26, 2024
Sole Proprietor
Yes

Practice Information

Address
1302 PORTAGE PATH
EAST LANSING, MI, 488232034
Browse MI providers · Browse ZIP 48823
Phone
6166342923
Primary Specialty
Behavior Technician
106S00000X

Other Behavior Technician Providers in EAST LANSING, MI

Name Credential NPI
KYLA JANE GOOLSBY 1902324643
CHEYENNE ZIMMERMAN 1538667480
JONATHAN JAMROG 1225537897
KATHRYN ELLEN SCHUBERT SLP 1548755085
KATHRYN SKIPPER 1679041982
ERICA PREBLICH 1992361935
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.