Jacie Johnson

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

1690 Beltline Rd SW
Decatur, AL 35601-5505

Phone

(256) 617-3118

NPI assigned

Jun 11, 2024

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

Practice roles

Locations

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.

• ABA Service Providers, LLC

  • Health Service Clinic/Center
  • Decatur, AL
  • NPI 1225770324
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1718064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718064000000",
    "number": "1689416638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 AMBER CIR",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356035286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1690 BELTLINE RD SW",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356015505",
            "telephone_number": "256-617-3118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JACIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-11",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hong Jiang, RN
• Nidhi Jindal, MD
• JLN Homes LLC
• John M McGuire
• Ashley L Johnson, ALC
• Jeffrey A Johnson, D.O.
• Jenna Johnson, RBT
• Joycelyn Ra'Tosha Johnson, CRNP
• Kimberly Sue Johnson, CRNP
• Kris C Johnson, RN

• Behavior Technician in Decatur, AL
• Providers in Decatur, AL by specialty
• Behavior Technician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2024; 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.