Robert Terry Johnson

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

6591 Reflection Dr
San Diego, CA 92124-3119

Phone

(919) 264-7208

NPI assigned

Dec 1, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mr. Robert Johnson Other name

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": "1543622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543622400000",
    "number": "1942770060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6591 REFLECTION DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921243119",
            "telephone_number": "919-264-7208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6591 REFLECTION DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921243119",
            "telephone_number": "919-264-7208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ROBERT",
        "middle_name": "TERRY",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-12-01",
        "last_updated": "2018-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROBERT",
            "last_name": "JOHNSON",
            "prefix": "MR.",
            "credential": "ROBEARE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Rebekah Johnson, LCSW
• Renee Lee Johnson
• Rhonda R Johnson
• Richard Michael Johnson, DDS
• Riley Johnson
• Rochelle Johnson, LVN
• Ronald D. Johnson, DDS
• Rosalyn Michele Johnson, CRC
• Rosemarie Marshall Johnson, M.D.
• Rudolph Johnson Jr., CATC1

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2018; 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.