Kenneth Johnson

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-22-236187 Issued in IL

Practice address

1715 N Division St Ste D
Morris, IL 60450-3102

Phone

(815) 510-0585

NPI assigned

Oct 5, 2023

Last updated

Oct 5, 2023By the provider in NPPES

Sex

Male

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

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Unlocking Abilities Behavior and Learning, LLC

  • Multi-Specialty Clinic/Center
  • Morris, IL
  • NPI 1013430008
  NPD

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

{
    "created_epoch": "1696464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696464000000",
    "number": "1083494199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1715 N DIVISION ST STE D",
            "city": "MORRIS",
            "state": "IL",
            "postal_code": "604503102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 N DIVISION ST STE D",
            "city": "MORRIS",
            "state": "IL",
            "postal_code": "604503102",
            "telephone_number": "815-510-0585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KENNETH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-10-05",
        "last_updated": "2023-10-05",
        "certification_date": "2023-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "IL",
            "license": "RBT-22-236187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cary Ann Jenkins, MD
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• John Bolden M.D. S.C.
• Brooke John
• Richard Charles Johnson, MD
• Joliet Oncology Hematology Associates LTD.
• Janet M Jones, P.T.A.
• Jennifer L Jones, MD
• Jula Chiropractic, PC

• Behavior Technician in Morris, IL
• Providers in Morris, IL by specialty
• Behavior Technician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2023; 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.