Active NPI
Alexis Johnson
- Behavior Technician
- Salt Lake City, UT
National Provider Identifier
1013588326
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 222 S Main St
Salt Lake City, UT 84101-2174 - Phone
- (855) 223-7123
- Fax
- (619) 374-7134
- NPI assigned
- Jul 7, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
222 S Main St
Salt Lake City, UT 84101-2174
Mailing address
PO Box 33568
San Diego, CA 92163-3568
Phone (855) 223-7123
Other practice location 1
15233 Ventura Blvd Ste 500
Sherman Oaks, CA 91403-2231
Phone (877) 418-2978
Other practice location 2
2550 N Hollywood Way Ste 102
Burbank, CA 91505-5031
Phone (866) 727-8274
Other practice location 3
1508 W Artesia Sq Apt B
Gardena, CA 90248-4773
Phone (800) 249-1266
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721865600000",
"number": "1013588326",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 33568",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921633568",
"telephone_number": "855-223-7123",
"fax_number": "619-374-7134"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "222 S MAIN ST",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841012174",
"telephone_number": "855-223-7123",
"fax_number": "619-374-7134"
}
],
"practiceLocations": [
{
"address_1": "15233 Ventura Blvd Ste 500",
"address_purpose": "LOCATION",
"city": "Sherman Oaks",
"state": "CA",
"postal_code": "914032231",
"country_code": "US",
"telephone_number": "877-418-2978",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2550 N Hollywood Way Ste 102",
"address_purpose": "LOCATION",
"city": "Burbank",
"state": "CA",
"postal_code": "915055031",
"country_code": "US",
"telephone_number": "866-727-8274",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1508 W Artesia Sq Apt B",
"address_purpose": "LOCATION",
"city": "Gardena",
"state": "CA",
"postal_code": "902484773",
"country_code": "US",
"telephone_number": "800-249-1266",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHNSON",
"first_name": "ALEXIS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-07",
"last_updated": "2024-07-25",
"certification_date": "2024-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.