Jermaine Marcell Johnson, MS, ABA, MBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

BH001435 Issued in PA

Practice address

1023 E Baltimore Pike
Media, PA 19063-5126

Phone

(610) 449-1600

Fax

(610) 449-2655

NPI assigned

May 14, 2020

Sex

Male

Sole proprietor

Yes

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

Credentials

Associate of Business Administration, Master of Business Administration, Master of Science

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.

• Janus Interventions, LLC

  • Behavior Analyst
  • Glenside, PA
  • NPI 1205685435
  NPD Authorized official

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

{
    "created_epoch": "1589414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589414400000",
    "number": "1508488396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "765 LIMEKILN PIKE UNIT 7",
            "city": "GLENSIDE",
            "state": "PA",
            "postal_code": "190383929",
            "telephone_number": "215-962-4344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1023 E BALTIMORE PIKE",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190635126",
            "telephone_number": "610-449-1600",
            "fax_number": "610-449-2655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JERMAINE",
        "middle_name": "MARCELL",
        "name_prefix": "Mr.",
        "credential": "MS, ABA, MBA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-05-14",
        "last_updated": "2020-05-14",
        "certification_date": "2020-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "PA",
            "license": "BH001435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jmoore Counseling Services, LLC
• Emily Johansen, PSYD
• John L Brendler, Inc
• Crystalle Johnson, CNM
• Jaime Johnson, PA-C
• Jerome Maurice Johnson, MS, ABA, MBA
• Kerry Johnson
• Mark Donald Johnston, PT
• Erika Sasha Jones, CCC-SLP
• Jade Alexa Jones

• Behavior Analyst in Media, PA
• Providers in Media, PA by specialty
• Behavior Analyst in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.