Colton Palmer Johnson
Individual provider Active NPI Behavior Technician · Grand Forks, ND
NPI 1609510478 · NPPES record last updated Nov 10, 2023
Key facts
- NPI
- 1609510478
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 2016 S Washington St
Grand Forks, ND 58201-6342 - Phone
- (701) 757-4200
- NPI assigned
- Apr 26, 2022
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anne Carlsen Center | Behavior Technician | Current |
Accepting new patients |
| Anne Carlsen Center | Past |
Accepting new patients |
Locations
2016 S Washington St
Grand Forks, ND 58201
Phone (701) 757-4200
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
2016 S Washington St
Grand Forks, ND 58201-6342
Mailing address
2016 S Washington St
Grand Forks, ND 58201-6342
Phone (701) 757-4200
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396085718 | Medicaid | UT |
Other providers in Grand Forks, ND
- Braelyn Johnson
- Brittany R Johnson
- Brittney Lorraine Johnson
- Cade David Johnson
- Ciara Johnson
- Debra Ann Johnson
- Donna Jean Johnson
- Elizabeth Johnson
- Emily Johnson
- Eric L Johnson
All providers in Grand Forks, ND · Behavior Technician in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 10, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.