Kayla Johnson, RBT

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

4500 Industrial Park Rd
Stevens Point, WI 54481-5014

Phone

(715) 544-6847

Fax

(715) 600-9046

NPI assigned

Jun 23, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Arrow Academy Inc

  • Community/Behavioral Health Agency
  • Stevens Point, WI
  • NPI 1144768508
  NPD (past)

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

{
    "created_epoch": "1624406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624406400000",
    "number": "1972172906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 INDUSTRIAL PARK RD",
            "city": "STEVENS POINT",
            "state": "WI",
            "postal_code": "544815014",
            "telephone_number": "715-544-6847",
            "fax_number": "715-600-9046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 INDUSTRIAL PARK RD",
            "city": "STEVENS POINT",
            "state": "WI",
            "postal_code": "544815014",
            "telephone_number": "715-544-6847",
            "fax_number": "715-600-9046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KAYLA",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-23",
        "last_updated": "2021-06-23",
        "certification_date": "2021-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "WI",
            "license": "RBT-18-68111",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kay E. Jewell, M.D.
• Thomas John Jirschele, RPH
• Michelle Christiana Jockin, PA C
• Bradley F Johnson, MD
• Donald David Johnson, MD
• Shannon Johnson, LMFT-IT, MSED
• Sharon R Johnson, MS,CCC-SLP
• Steven Lee Johnson, MA, LPC, NCC
• Twila Johnson, PHARMD
• Lu Ann Johnston, RADC1

• All providers in Stevens Point, WI
• Behavior Analyst in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2021; 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.