Active NPI
Emmalee Johnson
- Behavior Technician
- Omaha, NE
National Provider Identifier
1235896200
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-21-189719
- Practice address
- 925 Pierce St Apt 223
Omaha, NE 68108-3358 - Phone
- (844) 743-6506
- NPI assigned
- Nov 24, 2021
- Last updated
- Jun 6, 2022
- Sex
- Female
- 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 Technician | 106S00000X | RBT-21-189719 | NE | Primary |
Addresses
Primary practice location
925 Pierce St Apt 223
Omaha, NE 68108-3358
Mailing address
8300 Jefferson St NE Ste B
Albuquerque, NM 87113-1734
Other practice location 1
1299 Farnam St Ste 300
Omaha, NE 68102-1857
Phone (402) 252-1363
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 |
|---|---|---|---|
| RBT-21-189719 | NE | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Autism Learning Collaborative LLC | Current | Accepting new patients |
Locations
8300 Jefferson St NE
Ste B
Albuquerque, NM 87113
Phone (505) 225-5323
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Behavior Analyst
- Albuquerque, NM
- NPI 1578173472
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1637712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654473600000",
"number": "1235896200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8300 JEFFERSON ST NE STE B",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871131734"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "925 PIERCE ST APT 223",
"city": "OMAHA",
"state": "NE",
"postal_code": "681083358",
"telephone_number": "844-743-6506"
}
],
"practiceLocations": [
{
"address_1": "1299 Farnam St Ste 300",
"address_purpose": "LOCATION",
"city": "Omaha",
"state": "NE",
"postal_code": "681021857",
"country_code": "US",
"telephone_number": "402-252-1363",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHNSON",
"first_name": "EMMALEE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-11-24",
"last_updated": "2022-06-06",
"certification_date": "2022-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "NE",
"license": "RBT-21-189719",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.