Kelly Johnson, RBT

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-25-450380 Issued in IN

Practice address

5155 S Meridian St
Indianapolis, IN 46217-3764

Phone

(502) 795-0773

NPI assigned

Jul 16, 2025

Sex

Unspecified or another gender identity

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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 and National Provider Directory roles.

• Adaptive Community Support Services Inc

  • Developmentally Disabled Services Day Training Agency
  • New Albany, IN
  • NPI 1770970576

  Behavior Technician

  NPD (past)
• Adaptive Community Support Services Inc

  • Speech-Language Pathologist
  • Louisville, KY
  • NPI 1679382337
  NPD (past)

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

{
    "created_epoch": "1752624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752624000000",
    "number": "1275425241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3006 EASTPOINT PKWY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402234185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5155 S MERIDIAN ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462173764",
            "telephone_number": "502-795-0773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KELLY",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-07-16",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "IN",
            "license": "RBT-25-450380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaleb Johnson, PA-C
• Karen A Johnson, NP
• Katelyn Marie Johnson, PA-C
• Kathleen Johnson, RBT
• Kaylee Johnson
• Kelly Denise Johnson, FNP-C
• Kelsey Johnson
• Kendra V Johnson, LCSW
• Kenneth Clark Johnson, P.T.
• Khalilia Johnson

• Behavior Technician in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Behavior Technician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2025; 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.