Victoria G Johnson, LBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

L-219 Issued in LA

Practice address

4210 Broadway St
Pearland, TX 77581-4118

Phone

(318) 600-6640

Fax

(318) 855-1277

NPI assigned

Aug 16, 2017

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Changing the Spectrum, LLC

  • Early Intervention Provider Agency
  • Pearland, TX
  • NPI 1174087431

  Behavior Analyst

  NPD Authorized official
• Behavioral Developmental Services

  • Behavior Analyst
  • Monroe, LA
  • NPI 1023454451
  NPD (past)

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

{
    "created_epoch": "1502841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699574400000",
    "number": "1346766862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3411 WHITMAN DR",
            "city": "ROSHARON",
            "state": "TX",
            "postal_code": "775831204",
            "telephone_number": "281-676-2557",
            "fax_number": "318-855-1277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4210 BROADWAY ST",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775814118",
            "telephone_number": "318-600-6640",
            "fax_number": "318-855-1277"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4115 N Kings Hwy Ste 112",
            "address_purpose": "LOCATION",
            "city": "Texarkana",
            "state": "TX",
            "postal_code": "755034855",
            "country_code": "US",
            "telephone_number": "281-676-2557",
            "fax_number": "318-855-1277",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "VICTORIA",
        "middle_name": "G",
        "name_prefix": "Mrs.",
        "credential": "LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-16",
        "last_updated": "2023-11-10",
        "certification_date": "2023-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "LA",
            "license": "L-219",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "L-219",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shawn R Johnson, MD
• Sherrell Johnson
• Tamara Alicia Johnson, M.P.T, C.E.A.S
• Terrell Johnson
• Verna Diann Johnson, LMSW
• Gidget Michelle Johnston, CST,CSFA
• Leslie Anne Johnstone, PA
• Leah Elizabeth Jolly, IBCLC
• Anyiah Jones
• Brandi Jones

• Behavior Analyst in Pearland, TX
• Providers in Pearland, TX by specialty
• Behavior Analyst in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 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.