Individual provider Active NPI

Aleesha Johnson

  • Behavior Analyst
  • Bellevue, WA
National Provider Identifier
1265011670
Registry record updated Jun 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
4822 Issued in TX
Practice address
2018 156TH Ave NE
Bellevue, WA 98007-3825
Phone
(425) 326-1545
Fax
(206) 299-7030
NPI assigned
Apr 4, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X BA61529098 WA
Behavior Technician 106S00000X RBT-18-57528 TX
Behavior Analyst 103K00000X 4822 TX Primary

Addresses

Primary practice location

2018 156TH Ave NE
Bellevue, WA 98007-3825

Mailing address

7500 San Felipe St Ste 990
Houston, TX 77063-1708
Phone (281) 826-3382

Other practice location 1

747 Plaza Blvd Bldg 2
Coppell, TX 75019-6697
Phone (469) 828-2020

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

LicenseStateTypeSpecialty
BA61529098WAMDBehavioral Analyst
RBT-18-57528TXMDBehavior Technician
4822TXMDNutrition Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Mebe Seattle 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.

NPI Registry JSON

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

{
    "created_epoch": "1617494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719273600000",
    "number": "1265011670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 SAN FELIPE ST STE 990",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770631708",
            "telephone_number": "281-826-3382",
            "fax_number": "425-491-7683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2018 156TH AVE NE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980073825",
            "telephone_number": "425-326-1545",
            "fax_number": "206-299-7030"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "747 Plaza Blvd Bldg 2",
            "address_purpose": "LOCATION",
            "city": "Coppell",
            "state": "TX",
            "postal_code": "750196697",
            "country_code": "US",
            "telephone_number": "469-828-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ALEESHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-04",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "WA",
            "license": "BA61529098",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "TX",
            "license": "RBT-18-57528",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "4822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; 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.