NPIMap

Organization Active NPI

Johanna McDonald LLC

  • Behavior Analyst
  • Orlando, FL
National Provider Identifier
1154097145
Registry record updated Aug 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
JOHANNA MCDONALD LLC
Practice address
1634 Ferris Ave Apt Suite
Orlando, FL 32803-1810
Phone
(407) 575-4236
Fax
(407) 893-5892
NPI assigned
Aug 19, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2021

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

Authorized official

Name
Johanna McDonald, BCBANPI 1801122817
Title
Owner
Phone
(407) 575-4236

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

1634 Ferris Ave Apt Suite
Orlando, FL 32803-1810

Mailing address

1634 Ferris Ave Apt Suite
Orlando, FL 32803-1810
Phone (407) 575-4236

Other identifiers 1

IdentifierTypeStateIssuer
010574100MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Johanna McDonald LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1629331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629331200000",
    "number": "1154097145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1634 FERRIS AVE APT SUITE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328031810",
            "telephone_number": "407-575-4236",
            "fax_number": "407-893-5892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1634 FERRIS AVE APT SUITE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328031810",
            "telephone_number": "407-575-4236",
            "fax_number": "407-893-5892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHANNA MCDONALD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-19",
        "last_updated": "2021-08-19",
        "certification_date": "2021-07-28",
        "status": "A",
        "authorized_official_last_name": "MCDONALD",
        "authorized_official_first_name": "JOHANNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-575-4236",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010574100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2021; 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.