Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jaclyn Johnson

Individual provider Behavior Technician · NPI 1629653829

Jaclyn Johnson is a Behavior Technician in Warren, Michigan. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

3601 E 11 Mile Rd
Warren, MI 48092-2878
Phone: (303) 989-8169
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1629653829
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 10, 2021
Last updated in NPPESMarch 10, 2021
Certification dateMarch 10, 2021
Mailing address3601 E 11 Mile Rd, Warren, MI 48092-2878

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