Active NPI
Kimberlee Johnston
- Behavior Analyst
- Cameron, NC
National Provider Identifier
1548836943
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-23-69535
- Practice address
- 2293 NC 24-87
Cameron, NC 28326-6687 - Phone
- (910) 500-7783
- NPI assigned
- May 27, 2021
- Last updated
- Jan 23, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-23-69535 | NC | Primary |
Addresses
Primary practice location
2293 NC 24-87
Cameron, NC 28326-6687
Mailing address
300 International Pkwy Ste 200
Lake Mary, FL 32746-5028
Other practice location 1
102 Superior Dr
Spring Lake, NC 28390-3190
Phone (910) 484-1711
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1622073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769126400000",
"number": "1548836943",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 INTERNATIONAL PKWY STE 200",
"city": "LAKE MARY",
"state": "FL",
"postal_code": "327465028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2293 NC 24-87",
"city": "CAMERON",
"state": "NC",
"postal_code": "283266687",
"telephone_number": "910-500-7783"
}
],
"practiceLocations": [
{
"address_1": "102 Superior Dr",
"address_purpose": "LOCATION",
"city": "Spring Lake",
"state": "NC",
"postal_code": "283903190",
"country_code": "US",
"telephone_number": "910-484-1711",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHNSTON",
"first_name": "KIMBERLEE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-05-27",
"last_updated": "2026-01-23",
"certification_date": "2026-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NC",
"license": "1-23-69535",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cameron, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.