Hallie M Johnson, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-18-31618

Practice address

2404 E Empire St
Bloomington, IL 61704-3630

Phone

(309) 663-8275

NPI assigned

Oct 1, 2018

Last updated

Oct 1, 2018By 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

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.

• Easter Seals - Ucp

  • Behavior Analyst
  • Peoria, IL
  • NPI 1083983738
  NPD (past)
• Easter Seals - Ucp

  • Voluntary or Charitable Agency
  • Peoria, IL
  • NPI 1467434795

  Behavior Analyst

  NPD (past)

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

{
    "created_epoch": "1538352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538352000000",
    "number": "1386129864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 SEARLE DR APT 1",
            "city": "NORMAL",
            "state": "IL",
            "postal_code": "617612891",
            "telephone_number": "130-927-5836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2404 E EMPIRE ST",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617043630",
            "telephone_number": "309-663-8275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "HALLIE",
        "middle_name": "M",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-01",
        "last_updated": "2018-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-18-31618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jody Seip Counseling
• Stephanie Anne Johansson, LCSW
• Josian John Baptiste
• Lyndsey Johnsen
• Cynthia Johnson, OTR/L, CHT
• Jacquelyn L Johnson, MS, CGC
• Jaden R Johnson
• Jennifer Lynn Johnson, MSW, LCSW
• Karli Johnson, LCPC, ATR
• Katie Marie Johnson

• Behavior Analyst in Bloomington, IL
• Providers in Bloomington, IL by specialty
• Behavior Analyst in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2018; 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.