Kelly Elizabeth Johnson

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

491 Main St
Athol, MA 01331-1846

Phone

(978) 249-9490

Fax

(978) 249-9514

NPI assigned

Oct 21, 2010

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

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

{
    "created_epoch": "1287619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287619200000",
    "number": "1407166606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 CAROLINE ST",
            "address_2": "APT. 3",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016043810",
            "telephone_number": "508-713-7176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "491 MAIN ST",
            "city": "ATHOL",
            "state": "MA",
            "postal_code": "013311846",
            "telephone_number": "978-249-9490",
            "fax_number": "978-249-9514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KELLY",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-21",
        "last_updated": "2010-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sherri Ingerson
• Cibeles Anai Inoa
• J.O.C., Inc
• Javad Mirzai DMD PLLC
• Geralyn Elizabeth Johnson, M.A.
• Charles Jones III
• Jose M. Amparo MD PC
• Dionne Kane
• Alexander Kasper-Shaw, BA
• Lorraine Eva Kerz

• Behavior Analyst in Athol, MA
• Providers in Athol, MA by specialty
• Behavior Analyst in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2010; 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.