Individual provider Active NPI

Shaelyn La'Brea Johnson

  • Behavior Technician
  • Fort Walton Beach, FL
National Provider Identifier
1992612451
Registry record updated Aug 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
348 Miracle Strip Pkwy SW Ste 38
Fort Walton Beach, FL 32548-5264
Phone
(850) 420-2167
Fax
(850) 807-5260
NPI assigned
Aug 27, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2026

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 Primary

Addresses

Primary practice location

348 Miracle Strip Pkwy SW Ste 38
Fort Walton Beach, FL 32548-5264

Mailing address

348 Miracle Strip Pkwy SW Ste 38
Fort Walton Beach, FL 32548-5264
Phone (850) 420-2167

Medicare participation

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

NPI Registry JSON

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

{
    "created_epoch": "1787788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787788800000",
    "number": "1992612451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "348 MIRACLE STRIP PKWY SW STE 38",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325485264",
            "telephone_number": "850-420-2167",
            "fax_number": "850-807-5260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "348 MIRACLE STRIP PKWY SW STE 38",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325485264",
            "telephone_number": "850-420-2167",
            "fax_number": "850-807-5260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "SHAELYN",
        "middle_name": "LA'BREA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-08-27",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Walton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.