Active NPI
Makayla Johnson
- Behavior Technician
- Clay, WV
National Provider Identifier
1114531712
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 168 Church St
Clay, WV 25043-9420 - Phone
- (304) 587-6045
- NPI assigned
- Sep 2, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
168 Church St
Clay, WV 25043-9420
Mailing address
2121 7TH St
Parkersburg, WV 26101-3803
Phone (304) 485-1721
Other practice location 1
2121 7th St
Parkersburg, WV 26101-3803
Phone (304) 485-1721 ext. 226
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599004800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708473600000",
"number": "1114531712",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2121 7TH ST",
"city": "PARKERSBURG",
"state": "WV",
"postal_code": "261013803",
"telephone_number": "304-485-1721"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "168 CHURCH ST",
"city": "CLAY",
"state": "WV",
"postal_code": "250439420",
"telephone_number": "304-587-6045"
}
],
"practiceLocations": [
{
"address_1": "2121 7th St",
"address_purpose": "LOCATION",
"city": "Parkersburg",
"state": "WV",
"postal_code": "261013803",
"country_code": "US",
"telephone_number": "304-485-1721 x226",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHNSON",
"first_name": "MAKAYLA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-02",
"last_updated": "2024-02-21",
"certification_date": "2024-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clay, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.