Melissa Nicole Johnston, BCBA, LBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

11518081 Issued in MI

Practice address

43334 7 Mile Rd Ste 200
Northville, MI 48167-2249

Phone

(810) 252-4420

NPI assigned

Sep 19, 2014

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 names 1

• Melissa Nicole Leyanna Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Mercy Plus Health Services

  • Behavior Analyst
  • Alma, MI
  • NPI 1447851233
  NPD (past)
• Mercy Plus Healthcare Services LLC

  • Nursing Care Agency
  • Flushing, MI
  • NPI 1669706149

  Behavior Analyst

  NPD (past)
• Orchid Autism LLC

  • Behavior Analyst
  • Clinton Township, MI
  • NPI 1336866458
  NPD (past)

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

{
    "created_epoch": "1411084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583366400000",
    "number": "1386046498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 REVERE DR STE 120",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600628005",
            "telephone_number": "847-306-9843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43334 7 MILE RD STE 200",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481672249",
            "telephone_number": "810-252-4420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSTON",
        "first_name": "MELISSA",
        "middle_name": "NICOLE",
        "credential": "BCBA, LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-19",
        "last_updated": "2020-03-05",
        "certification_date": "2020-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MI",
            "license": "11518081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "LEYANNA",
            "middle_name": "NICOLE",
            "credential": "BCBA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jet Health Physician Group, PLLC
• Joe Syriac
• Justin John-George, PT
• Carol Ann Johnson
• Vimal Johnson
• Amberly Rose Jones
• Thomas Josaitis, RBT
• Jasmin Jose, FNP-C
• Suja Mathew Joseph
• Nikhil Shriram Joshi

• Behavior Analyst in Northville, MI
• Providers in Northville, MI by specialty
• Behavior Analyst in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.