Active NPI
Megan Elizabeth Lee Johnsoln
- Behavior Technician
- Canton, GA
National Provider Identifier
1699376855
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-20-142222
- Practice address
- 700 Preston Glen Cir
Apt. 303
Canton, GA 30114-3011 - Phone
- (678) 531-8544
- NPI assigned
- Nov 4, 2020
- Last updated
- Nov 4, 2020
- Sex
- Female
- Sole proprietor
- No
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 Technician | 106S00000X | RBT-20-142222 | GA | Primary |
Addresses
Primary practice location
700 Preston Glen Cir
Apt. 303
Canton, GA 30114-3011
Mailing address
700 Preston Glen Cir Apt 303
Canton, GA 30114-4192
Phone (678) 531-8544
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-20-142222 | GA | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604448000000",
"number": "1699376855",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 PRESTON GLEN CIR APT 303",
"city": "CANTON",
"state": "GA",
"postal_code": "301144192",
"telephone_number": "678-531-8544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 PRESTON GLEN CIR",
"address_2": "APT. 303",
"city": "CANTON",
"state": "GA",
"postal_code": "301143011",
"telephone_number": "678-531-8544"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSOLN",
"first_name": "MEGAN",
"middle_name": "ELIZABETH LEE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-04",
"last_updated": "2020-11-04",
"certification_date": "2020-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "GA",
"license": "RBT-20-142222",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Canton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.