Jayda Johnson

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

732 Carnegie Dr Ste 100
San Bernardino, CA 92408-3589

Phone

(909) 756-8887

NPI assigned

May 2, 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

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1651449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651449600000",
    "number": "1891430146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1563 BELLE ST",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924045015",
            "telephone_number": "909-843-1681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "732 CARNEGIE DR STE 100",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924083589",
            "telephone_number": "909-756-8887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JAYDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-02",
        "last_updated": "2022-05-02",
        "certification_date": "2022-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "19961205073000",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1996120507300",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "breana.ward@centerforautism.com",
            "affiliation": "N",
            "endpointDescription": "Centerforautism.com",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Center for autism.com",
            "address_1": "732 Carnegie Dr",
            "city": "San Bernardino",
            "state": "CA",
            "country_code": "US",
            "postal_code": "924083500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Edwin Dale Johnson Jr.
• Erik L Johnson, DO
• Fhontaniec Johnson
• Henry Johnson
• Jasmine A Johnson
• Kaylan Johnson
• Laneisha Dewayna Johnson, LVN
• Lorina Johnson
• Lynn Charlinda Johnson, LMFT
• Martin Allen Johnson, LCSW

• Behavior Technician in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2022; 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.