Reginic Shanell Johnson, RBT

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

15-01266 Issued in TX

Practice address

6479 Caroline St
Milton, FL 32570-4502

Phone

(850) 607-6910

Fax

(850) 607-6932

NPI assigned

Oct 19, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Texana Center

  • Multi-Specialty Clinic/Center
  • Rosenberg, TX
  • NPI 1689843401
  NPD (past)
• Texana Center

  • Multi-Specialty Clinic/Center
  • Rosenberg, TX
  • NPI 1912954058
  NPD (past)

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

{
    "created_epoch": "1476835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628553600000",
    "number": "1104377639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6479 CAROLINE ST",
            "city": "MILTON",
            "state": "FL",
            "postal_code": "325704502",
            "telephone_number": "850-607-6910",
            "fax_number": "850-607-6932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6479 CAROLINE ST",
            "city": "MILTON",
            "state": "FL",
            "postal_code": "325704502",
            "telephone_number": "850-607-6910",
            "fax_number": "850-607-6932"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4910 Airport Ave Ste F",
            "address_purpose": "LOCATION",
            "city": "Rosenberg",
            "state": "TX",
            "postal_code": "774715759",
            "country_code": "US",
            "telephone_number": "281-239-1435",
            "fax_number": "281-239-0828",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "REGINIC",
        "middle_name": "SHANELL",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-19",
        "last_updated": "2021-08-10",
        "certification_date": "2021-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "TX",
            "license": "15-01266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Khrysti Danielle Jenkins
• Virgen M Jenkins, RBT
• Jessica Jewett
• Jailan Johnson
• Ledell Johnson Jr.
• Jonathan E Fountain MD
• Hannah Jones, APRN, MSN, FNP-C
• Jasmine Jones
• Teresa Jones
• Alexandra Jordan

• Behavior Technician in Milton, FL
• Providers in Milton, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2021; 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.