Corie Johnson

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

110 E Broward Blvd Ste 110
Fort Lauderdale, FL 33301-3525

Phone

(588) 556-1820

NPI assigned

Jul 3, 2023

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

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.

• Kaleidoscope Kollege

  • Behavior Analyst
  • Cheltenham, MD
  • NPI 1174469951

  Behavior Technician

  NPD Authorized official

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

{
    "created_epoch": "1688342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736121600000",
    "number": "1104503960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 E BROWARD BLVD STE 110",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333013525",
            "telephone_number": "588-556-1820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E BROWARD BLVD STE 110",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333013525",
            "telephone_number": "588-556-1820"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4530 Wisconsin Ave NW Ste 300",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200164606",
            "country_code": "US",
            "telephone_number": "703-342-8785",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2000 Tower Oaks Blvd Ste 500",
            "address_purpose": "LOCATION",
            "city": "Rockville",
            "state": "MD",
            "postal_code": "208524377",
            "country_code": "US",
            "telephone_number": "301-444-5001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "CORIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-03",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alex Michael Johnson, OD
• Areeba Johnson
• Barron Johnson, MD
• Brooke Johnson
• Charlotte Mattea Johnson
• Kathleen Anne Johnson, LMHC
• Keneisha Adeni Johnson
• Marcia E Johnson, PHD, LCSW-C
• Pamela Ann Johnson, LCSW, CAP
• Peter Stuart Johnson, MD

• Behavior Technician in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2025; 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.