Malik Johnson

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

000032995688 Issued in NC

Practice address

234 Cedar Lodge Rd
Thomasville, NC 27360-6143

Phone

(336) 474-2211

NPI assigned

Oct 9, 2025

Sex

Male

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 and National Provider Directory roles.

• Eternal Hope Therapeutics LLC

  • Community/Behavioral Health Agency
  • Asheboro, NC
  • NPI 1194590729

  Behavior Technician

  NPD (past)
• Eternal Hope Therapeutics LLC

  • Speech-Language Pathologist
  • Asheboro, NC
  • NPI 1215891692
  NPD (past)

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

{
    "created_epoch": "1759968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759968000000",
    "number": "1699640649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4755 COUNTRY CLUB RD APT 110B",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271043512",
            "telephone_number": "704-713-0953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 CEDAR LODGE RD",
            "city": "THOMASVILLE",
            "state": "NC",
            "postal_code": "273606143",
            "telephone_number": "336-474-2211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MALIK",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-10-09",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NC",
            "license": "000032995688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shawn D Jessup
• Terrance Percell Johns, MD
• Johnson Neurological Clinic, Inc.
• Pamela Johnson-Darr, DDS PA
• Janice C Johnson, N.P.
• Mary Elizabeth Johnson, CRNA
• Pamela Willette Johnson
• Rebecca Lee Johnson, LCSW
• Aaron Kyle Johnston, PHARM.D.
• Grace Moore Jonasson, DC

• All providers in Thomasville, NC
• Behavior Technician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2025; 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.