Emmanuel Andre Johnson, BT

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

630 Plaza Dr Ste 100
Highlands Ranch, CO 80129-2379

Phone

(720) 470-0578

NPI assigned

Dec 2, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Theology

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

{
    "created_epoch": "1733097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733097600000",
    "number": "1124844519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 SAN FELIPE ST STE 900",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770631798",
            "telephone_number": "866-610-0580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 PLAZA DR STE 100",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801292379",
            "telephone_number": "720-470-0578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "EMMANUEL",
        "middle_name": "ANDRE",
        "credential": "BT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-12-02",
        "last_updated": "2024-12-02",
        "certification_date": "2024-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meghan Christine Jeske
• John G McDaniel, OD LLC
• Premod James John, M.D.
• Janice Elizabeth Johnsen, PA
• Andre Lyndon B Johnson, DO
• Jasmine Alexandria Johnson, DPT
• Katherine Kirkland Johnson, NP
• Lauren Diane Johnson, MS
• Mary Lou B Johnson, M.S.
• Robert Johnson

• Behavior Technician in Highlands Ranch, CO
• Providers in Highlands Ranch, CO by specialty
• Behavior Technician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.

Verify at the official NPI Registry.