Most Relevant Information
Provider Data
| NPI Number: | 1003567595 |
| Provider Name: | LEIGHA IRENE JOHNSON |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 01/16/2022 |
| Last Updated: | 01/16/2022 |
Provider Practice Location
5703 BAY RD
SAGINAW
MI
486042507
Practice Location Phone/Fax
| Phone: | 9893345167 |
| Fax: |
Provider Mailing Location
4512 N SAGINAW RD APT 414
MIDLAND
MI
486402345
Provider Mailing Phone/Fax
| Phone: | 9894874793 |
| Fax: |