Victoria Grace Johnson, BCABA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

751 E Georgia Rd
Woodruff, SC 29388-8787

Phone

(864) 476-7400

NPI assigned

Jun 25, 2019

Last updated

Jun 25, 2019By the provider in NPPES

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": "1561420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561420800000",
    "number": "1568023059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "159 WALCOTT DR",
            "city": "LYMAN",
            "state": "SC",
            "postal_code": "293659250",
            "telephone_number": "803-315-8614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 E GEORGIA RD",
            "city": "WOODRUFF",
            "state": "SC",
            "postal_code": "293888787",
            "telephone_number": "864-476-7400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Elford Ct",
            "address_purpose": "LOCATION",
            "city": "Spartanburg",
            "state": "SC",
            "postal_code": "293063250",
            "country_code": "US",
            "telephone_number": "864-476-7400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "VICTORIA",
        "middle_name": "GRACE",
        "name_prefix": "Ms.",
        "credential": "BCABA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-25",
        "last_updated": "2019-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James H. Allen
• James-Willmot Clinic
• Katherine Anne Janelle, M.A., CCC-SLP
• Terry E Jeffries, PA-C
• Mary Kathryn Johns, PHARMD
• Jamie Leigh Keeney, OTR/L
• Lyubov Ivanovna Khmaruk
• Mark Stephen Knight, B.C.B.A., N.C.C.
• Patricia Schmidt Knight, R.N.
• Diane Lamb, RN

• Behavior Analyst in Woodruff, SC
• Providers in Woodruff, SC by specialty
• Behavior Analyst in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2019; 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.