Lauren Johnson, BCBA 1-22-59104

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

16649 Jean LN Apt 2S
Tinley Park, IL 60477-4964

Phone

(708) 268-0468

NPI assigned

Dec 1, 2019

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.

• Action Behavior Centers, LLC

  • Behavior Analyst
  • Austin, TX
  • NPI 1841654050
  NPD (past)

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

{
    "created_epoch": "1575158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653004800000",
    "number": "1922645746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7604 W SAINT FRANCIS RD",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604236931",
            "telephone_number": "708-268-0468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16649 JEAN LN APT 2S",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604774964",
            "telephone_number": "708-268-0468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "LAUREN",
        "credential": "BCBA 1-22-59104",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-01",
        "last_updated": "2022-05-20",
        "certification_date": "2022-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carl Winston Johnson II, MD
• Dejanae Johnson, RBT
• Jeniya Johnson
• Jocelyn Denise Johnson
• Latravia Johnson, FNP
• Margherita Marie Johnson, R.D.
• Molly O'Shaughnessey Johnson, O.D.
• NA'Kiya Johnson
• Naomi P Johnson
• Susan L Johnson, LSW

• Behavior Analyst in Tinley Park, IL
• Providers in Tinley Park, IL by specialty
• Behavior Analyst in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.