Sydney Alexis Johnson
Individual provider Active NPI Behavior Analyst · Saint Robert, MO
NPI 1093322679 · NPPES record last updated Sep 28, 2020
Key facts
- NPI
- 1093322679
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- Practice address
- 496 Old Route 66
Saint Robert, MO 65584-3728 - Phone
- (573) 246-6164
- NPI assigned
- Sep 28, 2020
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Yes |
Addresses
Primary practice location
496 Old Route 66
Saint Robert, MO 65584-3728
Mailing address
21600 Oxnard St Ste 1800
Woodland Hills, CA 91367-7807
Phone (818) 345-2345
Other providers in Saint Robert, MO
- Bradley Hunt
- Saima Jabeen
- Hannah Marlene Jacklin
- Jesse Smith DDS LLC
- Mackenzie Johnson
- Amanda Marie Jones
- Journeys Through Autism
- Jta Behavior Services
- Kelsey Ann Jubinville
- Najwa Iyad Kashow
All providers in Saint Robert, MO · Behavior Analyst in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 28, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.