Alexa Johnson

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

118 Ketay Dr S
East Northport, NY 11731-5014

Phone

(631) 275-6131

NPI assigned

Apr 28, 2017

Last updated

Apr 28, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1493337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493337600000",
    "number": "1023543949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 KETAY DRIVE SOUTH",
            "city": "EAST NORTHPORT",
            "state": "NY",
            "postal_code": "11731",
            "telephone_number": "631-275-6131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 KETAY DR S",
            "city": "EAST NORTHPORT",
            "state": "NY",
            "postal_code": "117315014",
            "telephone_number": "631-275-6131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ALEXA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-28",
        "last_updated": "2017-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Raffaele, LCSW, PC
• Joan B Jennings, M.S.,CCC
• Jill N Wallace LCSW PLLC
• John E Lagner DMD PC
• John S. Ferraro, DO, PC
• Rincy Johnson, PHARMD
• Althea Jola
• Ho-Yeong Jong
• Darina Lee Jorgensen
• Hye-Young Jung, B.S. IN PHARM

• Behavior Technician in East Northport, NY
• Providers in East Northport, NY by specialty
• Behavior Technician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2017; 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.