Individual provider Active NPI

Carin M Johnson, MA, BCBA, LBA

  • Behavior Analyst
  • Plano, TX
National Provider Identifier
1104326966
Registry record updated Jul 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
4446 Issued in TX
Practice address
1717 W Plano Pkwy
Plano, TX 75075-8618
Phone
(214) 618-7985
NPI assigned
Feb 19, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 4446 TX Primary

Addresses

Primary practice location

1717 W Plano Pkwy
Plano, TX 75075-8618

Mailing address

1700 Rogers Rd Apt 265
Fort Worth, TX 76107-8616
Phone (817) 992-0709

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
4446TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Concept Connections LTD Behavior Analyst CurrentSince Jul 31, 2023 Accepting new patients

Locations

1717 W Plano Pkwy
Plano, TX 75075
Phone (214) 385-5301

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1518998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690156800000",
    "number": "1104326966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 ROGERS RD APT 265",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761078616",
            "telephone_number": "817-992-0709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 W PLANO PKWY",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750758618",
            "telephone_number": "214-618-7985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "CARIN",
        "middle_name": "M",
        "credential": "MA, BCBA, LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-19",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "4446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.