Active NPI
Amanda Johnson
- Behavior Analyst
- East Orange, NJ
National Provider Identifier
1629742523
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 44 S Munn Ave Apt 1F
East Orange, NJ 07018-3671 - Phone
- (862) 452-8245
- NPI assigned
- Aug 4, 2021
- 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 | Primary |
Addresses
Primary practice location
44 S Munn Ave Apt 1F
East Orange, NJ 07018-3671
Mailing address
44 S Munn Ave Apt 1F
East Orange, NJ 07018-3671
Phone (862) 452-8245
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6693 | Medicaid | NJ |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Na |
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": "1628035200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628035200000",
"number": "1629742523",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44 S MUNN AVE APT 1F",
"city": "EAST ORANGE",
"state": "NJ",
"postal_code": "070183671",
"telephone_number": "862-452-8245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44 S MUNN AVE APT 1F",
"city": "EAST ORANGE",
"state": "NJ",
"postal_code": "070183671",
"telephone_number": "862-452-8245"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "AMANDA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-08-04",
"last_updated": "2021-08-04",
"certification_date": "2021-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6693",
"state": "NJ"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Na",
"affiliation": "N",
"endpointDescription": "Na",
"address_1": "44 S Munn Ave",
"city": "East Orange",
"state": "NJ",
"country_code": "US",
"postal_code": "070183602",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in East Orange, NJ
- Johnson & Associates Counseling & Consultation Group, PC
- Johnson & Associates Counseling & Consultation Group, PC
- Johnson & Associates Counselng Consultation
- Johnson and Associates Counseling and Consultation Group PC
- Gloria Thora Johnson Appleton
- Denise M. Williams Johnson, PH.D.
- Destiny Chantel Johnson, RDN
- Lashanda Taniesha Johnson, M.S. MFT
- Lynnette Johnson, PH.D.
- Maria Angela Johnson, 26NJ00539700
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.