D Jla Johnson

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

US222998 Issued in OH

Practice address

1033 Larchwood Rd
Mansfield, OH 44907-2424

Phone

(419) 747-4122

NPI assigned

Mar 4, 2020

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

• DJ Johnson Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1583280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583280000000",
    "number": "1497380034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 S MAIN ST",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449075003",
            "telephone_number": "419-295-0051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1033 LARCHWOOD RD",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449072424",
            "telephone_number": "419-747-4122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "D JLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-04",
        "last_updated": "2020-03-04",
        "certification_date": "2020-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "OH",
            "license": "US222998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DJ",
            "last_name": "JOHNSON",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Joshua M Jewell
• Joann M Gottschling
• John Nirmalnath MD
• Amelia Faye Johnson Grund, PMH, NP-BC
• Amy Marie Johnson, M.A. CCC-SLP
• Deborah Lynn Johnson
• Eric Johnson
• Eric A. Johnson
• Erica Marie Johnson, LPN
• Halle Johnson

• Behavior Technician in Mansfield, OH
• Providers in Mansfield, OH by specialty
• Behavior Technician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.