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

Individual provider Behavior Technician · NPI 1154211431

Mixon Jermaine Golson is a Behavior Technician in Redford, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2025
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Practice location Address checks out

20476 Beech Daly Rd
Redford, MI 48240-1037
Phone: (313) 989-5253
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X (MI)

Record details

NPI number1154211431
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 8, 2025
Last updated in NPPESJuly 8, 2025
Certification dateJuly 8, 2025

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