Emily Brianne Johnson, M.ED,BCBA, LBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-21-50978 Issued in MI

Practice address

3949 N River Rd
Freeland, MI 48623-8856

Phone

(989) 702-2082

NPI assigned

Jun 2, 2017

Last updated

Jan 2, 2023By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

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.

• Spectrum Autism Center

  • Behavior Technician
  • Freeland, MI
  • NPI 1457898124
  NPD (past)
• Spectrum Autism Center LLC

  • Behavior Analyst
  • Freeland, MI
  • NPI 1275916363
  NPD (past)

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

{
    "created_epoch": "1496361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672617600000",
    "number": "1225566342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6040 BAY VALLEY RD",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487069056",
            "telephone_number": "989-928-8413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3949 N RIVER RD",
            "city": "FREELAND",
            "state": "MI",
            "postal_code": "486238856",
            "telephone_number": "989-702-2082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "EMILY",
        "middle_name": "BRIANNE",
        "credential": "M.ED,BCBA, LBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-02",
        "last_updated": "2023-01-02",
        "certification_date": "2023-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MI",
            "license": "1-21-50978",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "MI",
            "license": "RBT-17-35390",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Samantha Marie Jersey, BCBA, LBA
• Kristin Marie Johnson, P.A.
• Ashley Jordan, DC
• Dorren Jueckstock, LMT
• Amanda Keller, LMSW
• Jana Carolyn Keller, DPT

• Behavior Analyst in Freeland, MI
• Providers in Freeland, MI by specialty
• Behavior Analyst in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2023; 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.