Johanna Casas

Individual provider Active NPI Behavior Technician · Highland, CA

NPI 1114424033 · NPPES record last updated Sep 3, 2021

Key facts

NPI
1114424033
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
27076 Cypress St
Highland, CA 92346-3662
Phone
(951) 223-5354
Fax
(909) 312-2948
NPI assigned
Apr 7, 2018
Sex
Female
Sole proprietor
No

Organizations & group practices 4

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Shine Bright Speech and Language Therapy Corp. Current
since Sep 5, 2021
Accepting new patients
Shine Bright Network LLC Current
since Sep 5, 2021
Accepting new patients
Autism Spectrum Intervention Services and Training (Asist) Past Accepting new patients
Autism Center Committed to Educate Scientifically Past
since Apr 17, 2022
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

27076 Cypress St
Highland, CA 92346-3662

Mailing address

27076 Cypress St
Highland, CA 92346-3662
Phone (951) 223-5354

Other providers in Highland, CA

All providers in Highland, CA · Behavior Technician in California

Sources for this page

Verify at the official NPI Registry.