Jesse Johnson

Primary specialty

Assistant Behavior AnalystTaxonomy code 106E00000X

Practice address

803 Garnet Rd
Wilmington, DE 19804-2615

Phone

(302) 377-7796

NPI assigned

Sep 25, 2023

Last updated

Sep 25, 2023By the provider in NPPES

Sex

Male

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

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

{
    "created_epoch": "1695600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695600000000",
    "number": "1306625967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "803 GARNET RD",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198042615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 GARNET RD",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198042615",
            "telephone_number": "302-377-7796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JESSE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-25",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bryn Johnson
• Chelsea Patricia Johnson
• Emily Johnson, CPRS
• Gary M Johnson, PH.D.
• Gina Marie Johnson, MA, LPCMH, NCC
• Jessica Johnson, MSW
• Joyce A Johnson
• Justin Dale Johnson, DC
• Laura Christine Johnson
• Lavon Johnson, PTA

• Assistant Behavior Analyst in Wilmington, DE
• Providers in Wilmington, DE by specialty
• Assistant Behavior Analyst in Delaware

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