Charmaine Marie Johnson-Garcia, RBT
Individual provider Active NPI Behavior Technician · Chesapeake, VA
NPI 1760998793 · NPPES record last updated Dec 28, 2017
Key facts
- NPI
- 1760998793
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- License
- RBT-15-03215 (VA)
- Practice address
- 4225 Portsmouth Blvd Ste B
Chesapeake, VA 23321-2154 - Phone
- (757) 292-4774
- NPI assigned
- Dec 28, 2017
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-15-03215 | VA | MD | Behavior Technician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-15-03215 | VA | Yes |
Addresses
Primary practice location
4225 Portsmouth Blvd Ste B
Chesapeake, VA 23321-2154
Mailing address
232 Red Cedar CT Apt 1a
Chesapeake, VA 23320-4546
Phone (757) 390-7009
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All providers in Chesapeake, VA · Behavior Technician in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 28, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.