Most Relevant Information
Provider Data
| NPI Number: | 1003451006 |
| Provider Name: | MEGAN ELINOR JOHNSON BCBA |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/13/2019 |
| Last Updated: | 10/11/2024 |
Provider Practice Location
3300 36TH ST SE
GRAND RAPIDS
MI
495122810
Practice Location Phone/Fax
| Phone: | 6169422810 |
| Fax: |
Provider Mailing Location
3300 36TH ST SE
GRAND RAPIDS
MI
495122810
Provider Mailing Phone/Fax
| Phone: | 6169422110 |
| Fax: |