Active NPI
Wesley David Johnson, M.A., BCBA, LBA
- Behavior Analyst
- Phoenix, AZ
National Provider Identifier
1215664214
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- BEH-000919
- Practice address
- 19601 N Black Canyon Hwy Ste 101
Phoenix, AZ 85027-4107 - Phone
- (855) 223-7123
- Fax
- (619) 374-7134
- NPI assigned
- Aug 1, 2022
- 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 | BEH-000919 | AZ | Primary |
Addresses
Primary practice location
19601 N Black Canyon Hwy Ste 101
Phoenix, AZ 85027-4107
Mailing address
PO Box 740780
Atlanta, GA 30374-0780
Phone (855) 223-7123
Other practice location 1
10595 N Tatum Blvd Ste E146
Paradise Valley, AZ 85253-1072
Phone (602) 606-2237
Other practice location 2
300 N 18th St
Phoenix, AZ 85006-4103
Phone (602) 340-8717
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BEH-000919 | AZ | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ally Pediatric Therapy LLC | Behavior Analyst | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Behavior Analyst
- Paradise Valley, AZ
- NPI 1427422179
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1659312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770163200000",
"number": "1215664214",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 740780",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303740780",
"telephone_number": "855-223-7123",
"fax_number": "619-374-7134"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19601 N BLACK CANYON HWY STE 101",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850274107",
"telephone_number": "855-223-7123",
"fax_number": "619-374-7134"
}
],
"practiceLocations": [
{
"address_1": "10595 N Tatum Blvd Ste E146",
"address_purpose": "LOCATION",
"city": "Paradise Valley",
"state": "AZ",
"postal_code": "852531072",
"country_code": "US",
"telephone_number": "602-606-2237",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "300 N 18th St",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850064103",
"country_code": "US",
"telephone_number": "602-340-8717",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHNSON",
"first_name": "WESLEY",
"middle_name": "DAVID",
"name_prefix": "Mr.",
"credential": "M.A., BCBA, LBA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-08-01",
"last_updated": "2026-02-04",
"certification_date": "2026-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "AZ",
"license": "BEH-000919",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.