Active NPI
Robert Lauran Johnson, BCBA
- Behavior Analyst
- Deeth, NV
National Provider Identifier
1215219589
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- LBAT042222
- Practice address
- 1900 Dennis Flat Road
Deeth, NV 89823-0057 - Phone
- (775) 340-5943
- NPI assigned
- Sep 13, 2011
- Last updated
- Jan 27, 2016
- Sex
- Male
- 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 Analyst | 103K00000X | LBAT042222 | NV | Primary |
Addresses
Primary practice location
1900 Dennis Flat Road
Deeth, NV 89823-0057
Mailing address
PO Box 57
Deeth, NV 89823-0057
Phone (775) 340-5943
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LBAT042222 | Other | NV | STATE LICENSE |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LBAT042222 | NV | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Robert Johnson Bcba LLC | Current | Accepting new patients | |
| Robert Johnson Bcba | Current | Accepting new patients |
Organizations & group practices 2
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.
-
dba Nevada Behavior and Autism
- Community/Behavioral Health Agency
- Deeth, NV
- NPI 1780446369
-
dba Nevada Behavior and Autism
- Community/Behavioral Health Agency
- Elko, NV
- NPI 1619466851
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453852800000",
"number": "1215219589",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 57",
"city": "DEETH",
"state": "NV",
"postal_code": "898230057",
"telephone_number": "775-340-5943"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 DENNIS FLAT ROAD",
"city": "DEETH",
"state": "NV",
"postal_code": "898230057",
"telephone_number": "775-340-5943"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "ROBERT",
"middle_name": "LAURAN",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-09-13",
"last_updated": "2016-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NV",
"license": "LBAT042222",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "LBAT042222",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Deeth, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 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.