Active NPI
Yasina Arlene Johnson
- Behavior Technician
- Smyrna, DE
National Provider Identifier
1578151007
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-20-114187
- Practice address
- 329 Garrisons Lake Blvd
Smyrna, DE 19977-4837 - NPI assigned
- Jan 11, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
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.
-
- Behavior Analyst
- Middletown, DE
- NPI 1467959593
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-20-114187 | DE | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cimi Enterprises LLC | Past | Accepting new patients |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-20-114187 | DE | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
329 Garrisons Lake Blvd
Smyrna, DE 19977-4837
Mailing address
329 Garrisons Lake Blvd
Smyrna, DE 19977-4837
Phone (302) 803-2210
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 11, 2021.
{
"created_epoch": "1610323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610323200000",
"number": "1578151007",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "329 GARRISONS LAKE BLVD",
"city": "SMYRNA",
"state": "DE",
"postal_code": "199774837",
"telephone_number": "302-803-2210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "329 GARRISONS LAKE BLVD",
"city": "SMYRNA",
"state": "DE",
"postal_code": "199774837"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "YASINA",
"middle_name": "ARLENE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-11",
"last_updated": "2021-01-11",
"certification_date": "2021-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "DE",
"license": "RBT-20-114187",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Smyrna, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.