Paetyn Johnson

Primary specialty

Assistant Behavior AnalystTaxonomy code 106E00000X

License

7313 Issued in TX

Practice address

5751 Kroger Dr Ste 141
Fort Worth, TX 76244-5633

Phone

(940) 441-3550

Fax

(940) 448-3200

NPI assigned

Sep 14, 2022

Sex

Female

Sole proprietor

No

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

Practice roles

Locations

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.

• ABA of North Texas, LLC

  • Behavior Analyst
  • Fort Worth, TX
  • NPI 1265008718
  NPD
• Thrive Behavior Centers LLC

  • Community/Behavioral Health Agency
  • Willow Park, TX
  • NPI 1265072680

  Assistant Behavior Analyst

  NPD (past)

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

{
    "created_epoch": "1663113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1841912003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5751 KROGER DR STE 141",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762445633",
            "telephone_number": "940-441-3550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5751 KROGER DR STE 141",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762445633",
            "telephone_number": "940-441-3550",
            "fax_number": "940-448-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "PAETYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-14",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "TX",
            "license": "7313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Morgan Drew Johnson, LMSW
• Nannie Blanche Johnson
• Nicola Alexandra Johnson, LPC-I
• Nicole Johnson
• Onike A Johnson, RN
• Patricia Norma Johnson, RN
• Porschia Johnson, LCPC
• Rachel Johnson, RN
• Rachel V Johnson, LVN
• Rhonda M. Johnson, PHD

• Assistant Behavior Analyst in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Assistant Behavior Analyst in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.