Alyssa Johnson, MA, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

2209 Northern Dr
Burlington, IA 52601-2256

Phone

(319) 243-1524

NPI assigned

Dec 26, 2017

Last updated

Jul 9, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Alyssa Thompson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Midwest Behavior Solutions, LLC

  • Behavior Analyst
  • Cambridge, IL
  • NPI 1326722588
  NPD Authorized official

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

{
    "created_epoch": "1514246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594252800000",
    "number": "1114433356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7058 N 850TH AVE",
            "city": "CAMBRIDGE",
            "state": "IL",
            "postal_code": "612389248",
            "telephone_number": "309-525-0611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2209 NORTHERN DR",
            "city": "BURLINGTON",
            "state": "IA",
            "postal_code": "526012256",
            "telephone_number": "319-243-1524"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4959 Utica Ridge Rd",
            "address_purpose": "LOCATION",
            "city": "Davenport",
            "state": "IA",
            "postal_code": "528073063",
            "country_code": "US",
            "telephone_number": "563-362-9631",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ALYSSA",
        "credential": "MA, BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-26",
        "last_updated": "2020-07-09",
        "certification_date": "2020-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "WA",
            "license": "CB60799981",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALYSSA",
            "last_name": "THOMPSON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Benjamin Tatsunori Iwai, O.D.
• Julie D Jackson, PT
• Kevin T Jennings, OD
• Angela Johns, CADC
• Jacqueline Jean Johnson-Onesto
• Amanda Johnson, MD
• Jessica Johnson
• Jessica F Johnson, LISW
• Tiffany Tiamera Jones
• Teresa Jordan, LMHC

• Behavior Analyst in Burlington, IA
• Providers in Burlington, IA by specialty
• Behavior Analyst in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2020; 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.