Organization Active NPI

Johnson ABA, LLC

  • Community/Behavioral Health Agency
  • Houston, TX
National Provider Identifier
1366050049
Registry record updated Jul 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
JOHNSON ABA, LLC
Practice address
17629 El Camino Real Ste 104
Houston, TX 77058-6005
Phone
(843) 861-3477
NPI assigned
Jul 17, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jessica Leigh Johnson
Title
President
Phone
(843) 861-3477

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

17629 El Camino Real Ste 104
Houston, TX 77058-6005

Mailing address

PO Box 58321
Webster, TX 77598-8321

Other names 1

  • Success on the Spectrum Doing business as

National Provider Directory

National Provider Directory

Locations

17629 El Camino Real
Ste 104
Houston, TX 77058
Phone (843) 861-3477

NPI Registry JSON

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

{
    "created_epoch": "1594944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594944000000",
    "number": "1366050049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 58321",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775988321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17629 EL CAMINO REAL STE 104",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770586005",
            "telephone_number": "843-861-3477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNSON ABA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-17",
        "last_updated": "2020-07-17",
        "certification_date": "2020-07-17",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "LEIGH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "843-861-3477"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Success on the Spectrum",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2020; 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.