Carolyn Johnston, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-19-40414 Issued in TN

Practice address

6655 Quince Rd Ste 101
Memphis, TN 38119-8031

Phone

(901) 567-5361

NPI assigned

Jan 7, 2020

Sex

Female

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

Practice roles

Locations

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.

• Autism Centers of Tennessee

  • Behavior Analyst
  • Germantown, TN
  • NPI 1134731821
  NPD

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

{
    "created_epoch": "1578355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672358400000",
    "number": "1285274340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6655 QUINCE RD STE 101",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381198031",
            "telephone_number": "901-567-5361",
            "fax_number": "901-321-5257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6655 QUINCE RD STE 101",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381198031",
            "telephone_number": "901-567-5361"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6685 Quince Rd Ste 120",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381198037",
            "country_code": "US",
            "telephone_number": "901-567-5361",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "309 N Church Ave Ste 103",
            "address_purpose": "LOCATION",
            "city": "Dyersburg",
            "state": "TN",
            "postal_code": "380243013",
            "country_code": "US",
            "telephone_number": "731-499-3480",
            "fax_number": "901-276-9607",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSTON",
        "first_name": "CAROLYN",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-07",
        "last_updated": "2022-12-30",
        "certification_date": "2022-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TN",
            "license": "1-19-40414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wende Johnson, BCBA
• William Trask Johnson, MD
• Yolanda Johnson
• Yolanda Latrice Johnson
• Amani Patrice Johnsonsinghbarnett, PHARMD
• Derek Andrew Johnston, PHARMD
• Heather Johnston
• Jeffrey Thomas Johnston, MD
• Marcia L Johnston, APRN, FNP-BC
• Rebecca Lizette Johnston

• Behavior Analyst in Memphis, TN
• Providers in Memphis, TN by specialty
• Behavior Analyst in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 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.

Verify at the official NPI Registry.