Jonathan Siake Johnson Sr.

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

NONE Issued in CO

Practice address

14056 E Vassar Ave Apt C-206
Aurora, CO 80014

Phone

(719) 679-7679

NPI assigned

Jun 13, 2022

Last updated

Jun 13, 2022By the provider in NPPES

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

Other identifiers 1

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": "1655078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655078400000",
    "number": "1548990500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14056 E VASSAR AVE APT C-206",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800142387",
            "telephone_number": "719-679-7679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14056 E VASSAR AVE APT C-206",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "80014",
            "telephone_number": "719-679-7679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JONATHAN",
        "middle_name": "SIAKE",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-06-13",
        "last_updated": "2022-06-13",
        "certification_date": "2022-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CO",
            "license": "NONE",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NONE",
            "identifier": "NONE",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennie Johnson, PA-C
• Jennifer Johnson, NP
• Jennifer Christine Johnson, WHNP, PMHNP
• Jessica Johnson, NP
• Joelle Jean Johnson, OTD, OTR/L
• Jordan Johnson
• Joshua Johnson
• Joshua Johnson, PH.D.
• Joy L Johnson, M.A., L.P.C.
• Kaci Johnson

• Behavior Analyst in Aurora, CO
• Providers in Aurora, CO by specialty
• Behavior Analyst in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2022; 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.