Suzanne Ellen Johnson, BCABA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

2430 6TH Ave
Moline, IL 61265-1539

Phone

(309) 764-5555

NPI assigned

Jan 5, 2015

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

Practice roles

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.

• Quad Cities Autism Center Inc.

  • Community/Behavioral Health Agency
  • Moline, IL
  • NPI 1689813529
  NPD (past)

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

{
    "created_epoch": "1420416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420416000000",
    "number": "1851789507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1431 DODGE ST",
            "city": "LE CLAIRE",
            "state": "IA",
            "postal_code": "527539635",
            "telephone_number": "563-271-9629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2430 6TH AVE",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612651539",
            "telephone_number": "309-764-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "SUZANNE",
        "middle_name": "ELLEN",
        "name_prefix": "Mrs.",
        "credential": "BCABA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-05",
        "last_updated": "2015-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benton Kurt Johnson II, PHD, LCPC, LMHC, NCC
• Brad Johnson
• Jennifer Robin Johnson
• John P Johnson, PA-C
• Sarah Elizabeth Johnson, CMA
• Tara L Johnson, FNP
• Tricia Sue Johnson, APN
• Allison Johnston, MHP
• Jessica L. Johnston, APN
• Nichole Marie Jones, NBC-HWC

• Behavior Analyst in Moline, IL
• Providers in Moline, IL by specialty
• Behavior Analyst in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2015; 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.