Kaylan Johnson

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

473 E Carnegie Dr.
Ste 100
San Bernardino, CA 92408

Phone

(909) 277-6090

NPI assigned

Aug 7, 2023

Last updated

Aug 1, 2024By the provider in NPPES

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• JFHS LLC

  dba 360 Human Services

  • Behavior Analyst
  • Apple Valley, CA
  • NPI 1013540731
  NPD

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

{
    "created_epoch": "1691366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722470400000",
    "number": "1356023436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1965 E SAN BERNARDINO AVE",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924083092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "473 E CARNEGIE DR.",
            "address_2": "STE 100",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "92408",
            "telephone_number": "909-277-6090"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15490 Civic Dr Ste 103",
            "address_purpose": "LOCATION",
            "city": "Victorville",
            "state": "CA",
            "postal_code": "923922382",
            "country_code": "US",
            "telephone_number": "442-327-9172",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KAYLAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-07",
        "last_updated": "2024-08-01",
        "certification_date": "2024-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erik L Johnson, DO
• Fhontaniec Johnson
• Henry Johnson
• Jasmine A Johnson
• Jayda Johnson
• Laneisha Dewayna Johnson, LVN
• Lorina Johnson
• Lynn Charlinda Johnson, LMFT
• Martin Allen Johnson, LCSW
• Mirna Johnson, B.S. (LMFT)

• Behavior Technician in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2024; 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.