Active NPI
Deja Nichole Johnson
- Behavior Technician
- Concord, CA
National Provider Identifier
1962217158
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 1200 Concord Ave Ste 185
Concord, CA 94520-5006 - Phone
- (877) 910-6538
- Fax
- (510) 373-1738
- NPI assigned
- Feb 12, 2025
- Last updated
- May 27, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | NU | Primary |
Addresses
Primary practice location
1200 Concord Ave Ste 185
Concord, CA 94520-5006
Mailing address
1200 Concord Ave Ste 185
Concord, CA 94520-5006
Phone (877) 910-6538
Other practice location 1
201 E Las Cruces Ave Ste 1501
Las Cruces, NM 88001-3488
Phone (945) 347-4607
Other practice location 2
2301 E 20th St
Farmington, NM 87401-8905
Phone (945) 347-4607
Other practice location 3
2900 E. Broadway Blvd. Ste 100 #1206
Tuscon, AZ 85716-5344
Phone (866) 273-2451
Other practice location 4
186 E Sheldon St # 1119
Prescott, AZ 86301-3114
Phone (866) 273-2451
Other practice location 5
2350 W Highway 89A # 1047
Sedona, AZ 86336-5344
Phone (866) 273-2451
Other practice location 6
100 Gossett Dr Ste B
Aztec, NM 87410-4529
Phone (945) 347-4607
Other practice location 7
1408 8th St
Alamogordo, NM 88310-5115
Phone (945) 347-4607
Other practice location 8
115 E College Blvd
Roswell, NM 88201-5158
Phone (945) 347-4607
Other practice location 9
201 N 4th St
Artesia, NM 88210-2168
Phone (945) 347-4607
Other practice location 10
809 W. Riordan Rd. Ste 100, PMB 1113
Flagstaff, AZ 86001-0810
Phone (866) 273-2451
Other practice location 11
1012 Marquez Pl Unit 106B
Santa Fe, NM 87505-1833
Phone (945) 347-4607
Other practice location 12
6565 Americas Pkwy NE Ste 200
Albuquerque, NM 87110-8172
Phone (945) 347-4607
Other practice location 13
950 W Aztec Ave
Gallup, NM 87301-6666
Phone (945) 347-4607
Other practice location 14
301 N Canyon St
Carlsbad, NM 88220-5809
Phone (945) 347-4607
Other practice location 15
2705 S Alma School Rd Ste 2
Chandler, AZ 85286-4400
Phone (945) 347-4607
Other practice location 16
221 N Kansas St Ste 700
El Paso, TX 79901-1444
Phone (945) 347-4607
Other practice location 17
21168 E Ocotillo Rd # 1078
Queen Creek, AZ 85142-8175
Phone (866) 273-2451
Other practice location 18
500 N Hudson St
Silver City, NM 88061-5435
Phone (945) 347-4607
Other practice location 19
1224 W 21st St
Clovis, NM 88101-4199
Phone (945) 347-4607
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Behavior Change Institute, LLC. | Behavior Technician | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1739318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779840000000",
"number": "1962217158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 CONCORD AVE STE 185",
"city": "CONCORD",
"state": "CA",
"postal_code": "945205006",
"telephone_number": "877-910-6538",
"fax_number": "510-373-1738"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 CONCORD AVE STE 185",
"city": "CONCORD",
"state": "CA",
"postal_code": "945205006",
"telephone_number": "877-910-6538",
"fax_number": "510-373-1738"
}
],
"practiceLocations": [
{
"address_1": "201 E Las Cruces Ave Ste 1501",
"address_purpose": "LOCATION",
"city": "Las Cruces",
"state": "NM",
"postal_code": "880013488",
"country_code": "US",
"telephone_number": "945-347-4607",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2301 E 20th St",
"address_purpose": "LOCATION",
"city": "Farmington",
"state": "NM",
"postal_code": "874018905",
"country_code": "US",
"telephone_number": "945-347-4607",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2900 E. Broadway Blvd. Ste 100 #1206",
"address_purpose": "LOCATION",
"city": "Tuscon",
"state": "AZ",
"postal_code": "857165344",
"country_code": "US",
"telephone_number": "866-273-2451",
"fax_number": "866-608-5560",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "186 E Sheldon St # 1119",
"address_purpose": "LOCATION",
"city": "Prescott",
"state": "AZ",
"postal_code": "863013114",
"country_code": "US",
"telephone_number": "866-273-2451",
"fax_number": "866-608-5560",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2350 W Highway 89A # 1047",
"address_purpose": "LOCATION",
"city": "Sedona",
"state": "AZ",
"postal_code": "863365344",
"country_code": "US",
"telephone_number": "866-273-2451",
"fax_number": "866-608-5560",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "100 Gossett Dr Ste B",
"address_purpose": "LOCATION",
"city": "Aztec",
"state": "NM",
"postal_code": "874104529",
"country_code": "US",
"telephone_number": "945-347-4607",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1408 8th St",
"address_purpose": "LOCATION",
"city": "Alamogordo",
"state": "NM",
"postal_code": "883105115",
"country_code": "US",
"telephone_number": "945-347-4607",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "115 E College Blvd",
"address_purpose": "LOCATION",
"city": "Roswell",
"state": "NM",
"postal_code": "882015158",
"country_code": "US",
"telephone_number": "945-347-4607",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "201 N 4th St",
"address_purpose": "LOCATION",
"city": "Artesia",
"state": "NM",
"postal_code": "882102168",
"country_code": "US",
"telephone_number": "945-347-4607",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "809 W. Riordan Rd. Ste 100, PMB 1113",
"address_purpose": "LOCATION",
"city": "Flagstaff",
"state": "AZ",
"postal_code": "860010810",
"country_code": "US",
"telephone_number": "866-273-2451",
"fax_number": "866-608-5560",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1012 Marquez Pl Unit 106B",
"address_purpose": "LOCATION",
"city": "Santa Fe",
"state": "NM",
"postal_code": "875051833",
"country_code": "US",
"telephone_number": "945-347-4607",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6565 Americas Pkwy NE Ste 200",
"address_purpose": "LOCATION",
"city": "Albuquerque",
"state": "NM",
"postal_code": "871108172",
"country_code": "US",
"telephone_number": "945-347-4607",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "950 W Aztec Ave",
"address_purpose": "LOCATION",
"city": "Gallup",
"state": "NM",
"postal_code": "873016666",
"country_code": "US",
"telephone_number": "945-347-4607",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "301 N Canyon St",
"address_purpose": "LOCATION",
"city": "Carlsbad",
"state": "NM",
"postal_code": "882205809",
"country_code": "US",
"telephone_number": "945-347-4607",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2705 S Alma School Rd Ste 2",
"address_purpose": "LOCATION",
"city": "Chandler",
"state": "AZ",
"postal_code": "852864400",
"country_code": "US",
"telephone_number": "945-347-4607",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "221 N Kansas St Ste 700",
"address_purpose": "LOCATION",
"city": "El Paso",
"state": "TX",
"postal_code": "799011444",
"country_code": "US",
"telephone_number": "945-347-4607",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "21168 E Ocotillo Rd # 1078",
"address_purpose": "LOCATION",
"city": "Queen Creek",
"state": "AZ",
"postal_code": "851428175",
"country_code": "US",
"telephone_number": "866-273-2451",
"fax_number": "866-608-5560",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "500 N Hudson St",
"address_purpose": "LOCATION",
"city": "Silver City",
"state": "NM",
"postal_code": "880615435",
"country_code": "US",
"telephone_number": "945-347-4607",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1224 W 21st St",
"address_purpose": "LOCATION",
"city": "Clovis",
"state": "NM",
"postal_code": "881014199",
"country_code": "US",
"telephone_number": "945-347-4607",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHNSON",
"first_name": "DEJA",
"middle_name": "NICHOLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-02-12",
"last_updated": "2026-05-27",
"certification_date": "2026-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Concord, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 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.