Amanda R Johnson

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

12045165 Issued in CA

Practice address

21241 Ventura Blvd Ste 187
Woodland Hills, CA 91364-2196

Phone

(805) 501-7346

NPI assigned

Sep 25, 2010

Last updated

Dec 5, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Children's Developmental Milestones

  • Community/Behavioral Health Agency
  • Woodland Hills, CA
  • NPI 1548563802
  NPD (past)

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

{
    "created_epoch": "1285372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733356800000",
    "number": "1689983678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21241 VENTURA BLVD STE 187",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913642196",
            "telephone_number": "805-501-7535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21241 VENTURA BLVD STE 187",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913642196",
            "telephone_number": "805-501-7346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "AMANDA",
        "middle_name": "R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-25",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "12045165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• JMG Recovery, Inc (JMG Recovery)
• Sandy Holte Jocoy, LMFT
• Joesef Youssef DDS Inc
• Caroline Theresa Joffrion
• Rachel Anna Johns, DO
• Amyah Johnson
• Breshae Johnson
• Cassandra Johnson
• Cheryl Lynne Johnson
• Hilary Johnson, L..P.T

• Behavior Analyst in Woodland Hills, CA
• Providers in Woodland Hills, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 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.