Katelyn Johnson

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-12-11928 Issued in FL

Practice address

326 9TH Ave NE
Apt 1
St Petersburg, FL 33701-1946

Phone

(813) 892-9222

NPI assigned

Apr 14, 2011

Last updated

Jun 1, 2016By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• ABA by KDJ, Inc.

  • Community/Behavioral Health Agency
  • St Petersburg, FL
  • NPI 1104223197
  NPD (past) Authorized official
• Better Behavior Therapy, LLC

  • Behavior Analyst
  • Tampa, FL
  • NPI 1790130599
  NPD (past)

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

{
    "created_epoch": "1302739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464739200000",
    "number": "1194015875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1356",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337311356",
            "telephone_number": "813-892-9222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 9TH AVE NE",
            "address_2": "APT 1",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337011946",
            "telephone_number": "813-892-9222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KATELYN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-14",
        "last_updated": "2016-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-12-11928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jillian Leigh Johnson, D.C
• Joseph Johnson, DO
• Joyce Tawfik Johnson, M.D.
• Julie D Johnson, MD
• Karen L Johnson, ARNP
• Katelyn Ann Johnson, DMD
• Kevin William Johnson
• Michele Johnson, ARNP
• Shelley Johnson
• Susan R Johnson, ARNP

• Behavior Analyst in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 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.