Active NPI
Tamara Koren Johnson, BCBA
- Behavior Analyst
- Cibolo, TX
National Provider Identifier
1386481802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 3230
- Practice address
- 4470 Green Valley Rd Ste 129
Cibolo, TX 78108-3064 - Phone
- (210) 767-3600
- NPI assigned
- Jul 11, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | |||
| Behavior Analyst | 103K00000X | 3230 | NC | Primary |
Addresses
Primary practice location
4470 Green Valley Rd Ste 129
Cibolo, TX 78108-3064
Mailing address
7507 Virtuoso Pass
San Antonio, TX 78266-2944
Phone (210) 702-1611
Other practice location 1
16 2nd St NW
Hickory, NC 28601-6105
Phone (828) 358-0976
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3230 | NC | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vibrant ABA Solutions LLC | Current | Accepting new patients | |
| Complete Rehabilitation and Sports Physical Therapy, PC | Past | Accepting new patients | |
| Comprehab LLC | Behavior Analyst | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Behavior Technician
- San Antonio, TX
- NPI 1861074981
-
- Physical Therapist
- Ronkonkoma, NY
- NPI 1811097306
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1720656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755648000000",
"number": "1386481802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7507 VIRTUOSO PASS",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782662944",
"telephone_number": "210-702-1611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4470 GREEN VALLEY RD STE 129",
"city": "CIBOLO",
"state": "TX",
"postal_code": "781083064",
"telephone_number": "210-767-3600"
}
],
"practiceLocations": [
{
"address_1": "16 2nd St NW",
"address_purpose": "LOCATION",
"city": "Hickory",
"state": "NC",
"postal_code": "286016105",
"country_code": "US",
"telephone_number": "828-358-0976",
"fax_number": "828-838-1057",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHNSON",
"first_name": "TAMARA",
"middle_name": "KOREN",
"name_prefix": "Ms.",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-07-11",
"last_updated": "2025-08-20",
"certification_date": "2025-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NC",
"license": "3230",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cibolo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.