Active NPI
Carly Johnson
- Behavior Technician
- Lanham, MD
National Provider Identifier
1720613250
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Legal business name
- CARLY JOHNSON
- Practice address
- 4301 Forbes Blvd Ste B
Lanham, MD 20706-4446 - Phone
- (240) 242-5985
- NPI assigned
- Mar 4, 2020
- Last updated
- Jun 25, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Carly Johnson
- Title
- Self
- Phone
- (240) 940-8918
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
4301 Forbes Blvd Ste B
Lanham, MD 20706-4446
Mailing address
1500 S Douglas Rd Ste 230
Coral Gables, FL 33134-4108
Phone (844) 244-1818
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583280000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1719273600000",
"number": "1720613250",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 S DOUGLAS RD STE 230",
"city": "CORAL GABLES",
"state": "FL",
"postal_code": "331344108",
"telephone_number": "844-244-1818"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4301 FORBES BLVD STE B",
"city": "LANHAM",
"state": "MD",
"postal_code": "207064446",
"telephone_number": "240-242-5985"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARLY JOHNSON",
"organizational_subpart": "NO",
"enumeration_date": "2020-03-04",
"last_updated": "2024-06-25",
"certification_date": "2024-06-25",
"status": "A",
"authorized_official_last_name": "JOHNSON",
"authorized_official_first_name": "CARLY",
"authorized_official_title_or_position": "SELF",
"authorized_official_telephone_number": "240-940-8918"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lanham, MD
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- Caremax Healthcare Services LLC (CareMax healthcare services dba Apex Healthcare solutions)
- Carepro Home Health & Transport, Inc.
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- Caroline Larosiliere DDS and Associates (Smiles Pediatric Dental Care)
- Caroline Larosiliere DDS and Associates (Smiles Pediatric Dental Care)
- Amirah Nisha' Carroll
- Craig F Carroll
- Jessica Rae Carroll, LCPC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.