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

Individual provider Behavior Technician · NPI 1548939861

Johniesha Jacques is a Behavior Technician in Detroit, Michigan. Practices as a sole proprietor. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
2
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Practice location Address checks out

24424 W McNichols Rd
Detroit, MI 48219-3653
Phone: (313) 531-2500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X
Behavior Technician Taxonomy 106S00000X

Record details

NPI number1548939861
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 9, 2021
Last updated in NPPESNovember 29, 2021
Certification dateNovember 29, 2021

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