Al-Nasir Muhammad Ali Johnson I

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

W383209086014 Issued in MN

Practice address

88 Cesar Chavez St Apt 233
Saint Paul, MN 55107-2397

Phone

(612) 407-0047

NPI assigned

Oct 1, 2024

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1727740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727740800000",
    "number": "1003634833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 CESAR CHAVEZ ST APT 233",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551072397",
            "telephone_number": "612-477-6007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 CESAR CHAVEZ ST APT 233",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551072397",
            "telephone_number": "612-407-0047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "AL-NASIR",
        "middle_name": "MUHAMMAD ALI",
        "name_prefix": "Mr.",
        "name_suffix": "I",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-10-01",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MN",
            "license": "W383209086014",
            "primary": false
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "MN",
            "license": "W383209086014",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "MN",
            "license": "W383209086014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Marie Johnson-Dupre, LPC
• Amy Elizabeth Johnson-Grass, ND, LM, LN, CPM
• Eada Johnson-Raab, SPEECH-LANGUAGE PATH
• Jennifer Johnson-Schmidt, RRT
• Abimbola Johnson, DPM
• Amanda Suzanne Johnson, PT
• Amy Johnson
• Andrea Johnson
• Anne I Johnson, CNM
• Barbara Johnson

• Behavior Technician in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Behavior Technician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.