Individual provider Active NPI

Kemara Johnson

  • Behavior Technician
  • Atlanta, GA
National Provider Identifier
1952997058
Registry record updated Dec 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-20-110080
Practice address
6849 Peachtree Dunwoody Rd BLDG A1
Atlanta, GA 30328-6769
Phone
(678) 691-2206
NPI assigned
Dec 14, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-20-110080 Primary

Addresses

Primary practice location

6849 Peachtree Dunwoody Rd BLDG A1
Atlanta, GA 30328-6769

Mailing address

6849 Peachtree Dunwoody Rd BLDG A1
Atlanta, GA 30328-6769
Phone (678) 691-2206

Other identifiers 1

IdentifierTypeStateIssuer
RBT-20-110080OtherGAREGISTERED BEHAVIOR TECHNICIAN

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL kemara@pathwaysbehavior.com

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

NPI Registry JSON

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

{
    "created_epoch": "1607904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607904000000",
    "number": "1952997058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6849 PEACHTREE DUNWOODY RD BLDG A1",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303286769",
            "telephone_number": "678-691-2206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6849 PEACHTREE DUNWOODY RD BLDG A1",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303286769",
            "telephone_number": "678-691-2206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KEMARA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-14",
        "last_updated": "2020-12-14",
        "certification_date": "2020-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": "RBT-20-110080",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED BEHAVIOR TECHNICIAN",
            "identifier": "RBT-20-110080",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "kemara@pathwaysbehavior.com",
            "affiliation": "N",
            "address_1": "6849 Peachtree Dunwoody Rd Bldg A1",
            "city": "Atlanta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303286769",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2020; 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.