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

Johnna Broadnax

Individual provider Behavior Technician · NPI 1104648708

Johnna Broadnax is a Behavior Technician in East Lansing, Michigan. Practices as a sole proprietor. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

1302 Portage Path
East Lansing, MI 48823-2034
Phone: (616) 634-2923
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1104648708
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 26, 2024
Last updated in NPPESOctober 26, 2024
Certification dateOctober 26, 2024
Mailing address1302 Portage Path, East Lansing, MI 48823-2034

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