JOHNNA BROADNAX
NPI 1104648708
Behavior Technician in East Lansing, MI

Active since October 26, 2024
1302 PORTAGE PATH, EAST LANSING, MI 48823(616) 634-2923 Get Directions Write a Review

NPPES record last updated: October 26, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Johnna Broadnax NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOHNNA BROADNAX (NPI 1104648708) is an individual behavior technician in East Lansing, Michigan and active in the NPI registry since October 2024.

NPPES Registry Identity

NPI1104648708
Entity TypeIndividualFemale
Primary Taxonomy106S00000X
Provider Legal NameJOHNNA BROADNAX
Location Address1302 PORTAGE PATHEast Lansing, MI 48823-2034
Mailing Address1302 Portage PathEast Lansing, MI 48823-2034 · (616) 634-2923
Sole ProprietorYes
Enumeration DateOctober 26, 2024
NPPES CertifiedOctober 26, 2024
NPI 1104648708 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyBehavior TechnicianBehavioral Health & Social Service Providers
Taxonomy Code106S00000X
Definition
The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.
1302 PORTAGE PATH, East Lansing, MI 48823

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Behavior Technician
1302 PORTAGE PATH
EAST LANSING, MI 48823
Behavior Technician
1302 PORTAGE PATH
EAST LANSING, MI 48823
Behavior Technician
1302 PORTAGE PATH
EAST LANSING, MI 48823
Behavior Technician
1302 PORTAGE PATH
EAST LANSING, MI 48823
Behavior Technician
1302 PORTAGE PATH
EAST LANSING, MI 48823
Behavior Technician
1302 PORTAGE PATH
EAST LANSING, MI 48823

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Johnna Broadnax's NPI number?

The NPI number for Johnna Broadnax is 1104648708. It was assigned to this individual provider in the NPPES registry on October 26, 2024.

Where is Johnna Broadnax located?

Johnna Broadnax practices at 1302 Portage Path, East Lansing, MI 48823. The listed phone number is (616) 634-2923.

What is Johnna Broadnax's specialty?

The primary specialty registered for this NPI is Behavior Technician with taxonomy code 106S00000X.

When was this NPI record last updated?

The NPPES record for Johnna Broadnax was last updated on October 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.