Khaja Johnson

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

J525501937190 Issued in FL

Practice address

175 NW 165TH Ave
Pembroke Pines, FL 33028-1427

Phone

(954) 681-6614

NPI assigned

Mar 21, 2014

Sex

Female

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

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

{
    "created_epoch": "1395360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395360000000",
    "number": "1811314347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11755 SW 90TH ST",
            "address_2": "STE 210",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331862177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 NW 165TH AVE",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330281427",
            "telephone_number": "954-681-6614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KHAJA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-21",
        "last_updated": "2014-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "J525501937190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chermora Johnson, M.S.
• Colleen L Johnson, ARRN
• David L Johnson, OT
• Desiree Johnson
• Garfield Johnson, PTA
• Lauren Johnson, PA-C
• Shontia Johnson, AP
• Tonya Yvette Johnson
• Winsome Johnson, MSW
• Julia Johnston

• Behavior Analyst in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2014; 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.