Jessica Johnson, M.ED; BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-16-23699 Issued in MD

Practice address

7175 Columbia Gateway Dr
Columbia, MD 21046-2534

Phone

(888) 344-5977

NPI assigned

Oct 17, 2016

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1476662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476662400000",
    "number": "1184175069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20301 THUNDERHEAD WAY",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208743806",
            "telephone_number": "724-510-1813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7175 COLUMBIA GATEWAY DR",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210462534",
            "telephone_number": "888-344-5977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JESSICA",
        "name_prefix": "Mrs.",
        "credential": "M.ED; BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-17",
        "last_updated": "2016-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MD",
            "license": "1-16-23699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isaiah Johnson
• Jasmine Johnson
• Jasmine Johnson
• Jeanna Johnson, L.AC
• Jessica Johnson
• Kadisha Johnson
• Kali Johnson, RN
• Karen Johnson
• Karen A Johnson, P.T.
• Karen Leigh Johnson, L.AC.,RN

• Behavior Analyst in Columbia, MD
• Providers in Columbia, MD by specialty
• Behavior Analyst in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2016; 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.