Individual provider Active NPI

Marquise Gregory Johnson

  • Behavior Analyst
  • Shelby, NC
National Provider Identifier
1922683408
Registry record updated Apr 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
3705 Issued in NC
Practice address
1404 S Lafayette St
Shelby, NC 28152-6658
Phone
(980) 484-3390
Fax
(980) 842-0212
NPI assigned
Mar 16, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-21-49968 CA
Behavior Technician 106S00000X
Behavior Analyst 103K00000X 3705 NC Primary

Addresses

Primary practice location

1404 S Lafayette St
Shelby, NC 28152-6658

Mailing address

PO Box 749
Belmont, NC 28012-0749
Phone (704) 869-2088

Other practice location 1

27349 Jefferson Ave Ste 204
Temecula, CA 92590-5612
Phone (951) 466-3032

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
3705NCMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Nufoundation Youth Development Mentors and Life Coach Services Behavior Analyst CurrentSince May 16, 2022 Accepting new patients
Learning Solutions LLC Past Accepting new patients
Complete Rehabilitation and Sports Physical Therapy, PC Past Accepting new patients
Behavior Frontiers, LLC Behavior Analyst PastSince Mar 21, 2021 Accepting new patients

Locations

27349 Jefferson Ave
Ste 204
Temecula, CA 92590
Phone (951) 466-3032

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1615852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776729600000",
    "number": "1922683408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 749",
            "city": "BELMONT",
            "state": "NC",
            "postal_code": "280120749",
            "telephone_number": "704-869-2088",
            "fax_number": "980-288-4239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1404 S LAFAYETTE ST",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281526658",
            "telephone_number": "980-484-3390",
            "fax_number": "980-842-0212"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27349 Jefferson Ave Ste 204",
            "address_purpose": "LOCATION",
            "city": "Temecula",
            "state": "CA",
            "postal_code": "925905612",
            "country_code": "US",
            "telephone_number": "951-466-3032",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MARQUISE",
        "middle_name": "GREGORY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-16",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-21-49968",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NC",
            "license": "3705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelby, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2026; 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.