Charline Smith-Johnson, RBT

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

RBT-13-01720 Issued in DC

Practice address

1356 Adams St NE
Washington, DC 20018-3545

Phone

(202) 489-8642

NPI assigned

Jun 24, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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": "1561334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1093376774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1356 ADAMS ST NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200183545",
            "telephone_number": "202-489-8642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1356 ADAMS ST NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200183545",
            "telephone_number": "202-489-8642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH-JOHNSON",
        "first_name": "CHARLINE",
        "credential": "RBT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-24",
        "last_updated": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "DC",
            "license": "RBT-13-01720",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RBT-13-01720",
            "state": "DC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "PBS",
            "affiliation": "Y",
            "affiliationName": "PBS Corp",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "OTHER",
            "address_1": "105 E Monument Ave",
            "city": "Kissimmee",
            "state": "FL",
            "country_code": "US",
            "postal_code": "347415761",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jessica Cecil Smith-Haynie
• Lator Smith-Jackson
• Harrison Smith-Jaoudi
• Michelle Smith-Jefferies, MD
• Enijah Smith-Joe, LICSW, MPH
• Takethia Smith-Jones
• Ruth A. Smith-Landry, RPH
• Janique Smith-Maddox
• Elena Smith-Moulden
• Jessica French Smith-O'Connor, LGSW

• Behavior Analyst in Washington, DC
• Providers in Washington, DC by specialty
• Behavior Analyst in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.