Joshua Johnson

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

1-12-11455 Issued in AR

Practice address

5604 Ellsworth Rd
Fort Smith, AR 72903-3224

Phone

(479) 926-4673

Fax

(479) 401-2595

NPI assigned

Jul 21, 2022

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

Other identifiers 1

Electronic endpoints 2

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": "1658361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1336874551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10921",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729170921",
            "telephone_number": "479-276-9900",
            "fax_number": "479-401-2595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5604 ELLSWORTH RD",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729033224",
            "telephone_number": "479-926-4673",
            "fax_number": "479-401-2595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JOSHUA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-21",
        "last_updated": "2022-07-21",
        "certification_date": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "AR",
            "license": "1-12-11455",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOPE 4 AUTISM",
            "identifier": "1902152952",
            "state": "AR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.hope4autism.us",
            "affiliation": "N",
            "endpointDescription": "Hope 4 Autism website",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Fort Smith",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Fort Smith",
            "address_1": "5604 Ellsworth Rd",
            "city": "Fort Smith",
            "state": "AR",
            "country_code": "US",
            "postal_code": "729033224",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.hope4autism.us",
            "affiliation": "N",
            "endpointDescription": "Hope 4 Autism website",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Fort Smith",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Fort Smith",
            "address_1": "5604 Ellsworth Rd",
            "city": "Fort Smith",
            "state": "AR",
            "country_code": "US",
            "postal_code": "729033224",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jason Johnson, AUD
• Jennifer White Johnson, MD
• Jill Johnson, M.S., SLP
• Joanne Johnson, APRN
• Jory Johnson, DO
• Lee Morgan Johnson, MD
• Maya'Neisha Johnson, QBHP/MHPP
• Sandra Marchese Johnson, MD
• Shannan Johnson, NP STUDENT
• Shelley Lynn Johnson

• Behavior Technician in Fort Smith, AR
• Providers in Fort Smith, AR by specialty
• Behavior Technician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.