Individual provider Active NPI

Angel Breail Johnson, BHRS

  • Behavior Analyst
  • Oklahoma City, OK
National Provider Identifier
1710227897
Registry record updated Aug 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
M0823645 Issued in OK
Practice address
2520 NW 39TH Ter
Suite100
Oklahoma City, OK 73112-3730
Phone
(405) 413-2077
NPI assigned
Feb 26, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X M0823645 OK Primary

Addresses

Primary practice location

2520 NW 39TH Ter
Suite100
Oklahoma City, OK 73112-3730

Mailing address

7272 E 37TH St N Apt 701
Wichita, KS 67226-3215
Phone (405) 875-2174

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

LicenseStateTypeSpecialty
M0823645OKMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Behavior Solutions, LLC Behavior Analyst Past Accepting new patients
One Step at a Time Counseling Services Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1361836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724284800000",
    "number": "1710227897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7272 E 37TH ST N APT 701",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672263215",
            "telephone_number": "405-875-2174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 NW 39TH TER",
            "address_2": "SUITE100",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731123730",
            "telephone_number": "405-413-2077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ANGEL",
        "middle_name": "BREAIL",
        "name_prefix": "Miss",
        "credential": "BHRS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-26",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "OK",
            "license": "M0823645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.