CARLY JOHNSON (NPI# 1366055980) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366055980 |
| Entity Type | Individual |
| Full Name | CARLY JOHNSON |
| Practice Address |
1701 Smith St Orange Park FL 32073-4820 |
| Mailing Address |
113 Mahogany Bay Dr Saint Johns FL 32259-6949 |
| Practice Telephone | 9043052069 |
| Practice Fax Number | 9043421430 |
| Enumeration Date | 2020-08-24 |
| Last Update Date | 2020-08-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588222798 | Carly M Johnson | Social Worker | 600 E 125th St Bldg 108, New York, NY 10035-6000 | 2019-06-03 |
| 1790317329 | Carly Jean Johnson | Speech-Language Pathologist | 5202 Olympic Dr Ste 100, Gig Harbor, WA 98335-1727 | 2020-02-11 |
| 1316504731 | Carly Frazier Johnson | Counselor | 170 Brown Pl, Bronx, NY 10454-4140 | 2019-05-21 |
| 1275099681 | Carly A Johnson | Case Manager/Care Coordinator | 2621 Victory Pkwy, Cincinnati, OH 45206-1754 | 2019-02-11 |
| 1528545886 | Carly Johnson | Physical Therapy Assistant | 2560 Ne Hopkins Ct, Pullman, WA 99163-5622 | 2018-07-19 |
| 1033580550 | Carly Nicole Johnson | Nurse Practitioner | 6600 Madison St, New Port Richey, FL 34652-1971 | 2015-10-09 |
| 1861882896 | Carly Johnson | Behavioral Analyst | 4575 Se Dixie Hwy, Stuart, FL 34997-6826 | 2015-01-29 |
| 1699177170 | Carly Morgan Johnson | Dietitian, Registered | 1045 N State Highway 121, Mt Zion, IL 62549-1219 | 2014-09-16 |
| 1235418120 | Carly Johnson | Counselor | 4371 E 72nd Ave, Commerce City, CO 80022-1471 | 2011-08-09 |
| Street Address |
1701 SMITH ST |
| City | ORANGE PARK |
| State | FL |
| Zip Code | 32073-4820 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891309423 | Kingsley Endoscopy Center LLC | Clinic/Center | 970 Kingsley Avenue, Orange Park, FL 32073 | 2020-09-01 |
| 1962028688 | Esra Sari | Student in an Organized Health Care Education/Training Program | 2001 Kingsley Avenue., Orange Park Medical Center, Orange Park, FL 32073 | 2020-06-18 |
| 1104441146 | Zeshan Tariq Malik | Student in an Organized Health Care Education/Training Program | 2001 Kingsley Avenue, Office of Graduate Medical Educa, Orange Park, FL 32073 | 2020-06-16 |
| 1902421894 | Ameer Hamza | Student in an Organized Health Care Education/Training Program | 2001, Kingsley Avenue Office of Graduate Medical Educat, Orange Park, FL 32073 | 2020-06-16 |
| 1497378103 | Fawad Ahmed Rashid | Student in an Organized Health Care Education/Training Program | 2001 Kingsley Avenue Office of Graduate Medical Educati, Orange Park, FL 32073 | 2020-05-28 |
| 1477174985 | Hannan Asghar | Student in an Organized Health Care Education/Training Program | Office of Graduate Medical Education 2001 Kingsley, Orange Park, FL 32073 | 2020-05-06 |
| 1902427156 | Emmanuel Iyanuloluwa Morakinyo | Student in an Organized Health Care Education/Training Program | 413 Deer View Avenue, 2001 Kingsley Ave, Orange Park, FL 32073 | 2020-04-29 |
| 1437799327 | Dalande Leger | Behavior Technician | 1563 Kingsley Ave Suite 103, Orange Park, FL 32073 | 2020-01-08 |
| 1215598313 | Mohammad Harisullah Khan | Student in an Organized Health Care Education/Training Program | 2001 Kingsley Ave, Gme Office, Orange Park, FL 32073 | 2019-06-28 |
| 1558927970 | Preetha Kamath | Student in an Organized Health Care Education/Training Program | Orange Park Medical Center, 2001 Kingsley Ave, Orange Park, FL 32073 | 2019-05-10 |
| Find all providers in zip 32073 | ||||
| Taxonomy Code | 106S00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavior Technician |
| The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work. |
| Notes: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437766219 | Cassia Burgess | Behavior Technician | 350 Corporate Way Ste 400, Orange Park, FL 32073-2853 | 2020-09-25 |
| 1861015265 | Jenny G. Herrera | Behavior Technician | 1700 Wells Rd # 1516, Orange Park, FL 32073-2337 | 2020-05-20 |
| 1083243901 | Jayden Alicia Mclaughlin | Behavior Technician | 1700 Wells Rd Ste 16, Orange Park, FL 32073-2374 | 2020-04-02 |
| 1386273290 | Monica Em | Behavior Technician | 1700 Wells Rd Ste 15-16, Orange Park, FL 32073-2337 | 2020-04-02 |
| 1437799327 | Dalande Leger | Behavior Technician | 1563 Kingsley Ave Suite 103, Orange Park, FL 32073 | 2020-01-08 |
| 1124532403 | Ashley Campbell | Behavior Technician | 3750 Silver Bluff Blvd Bldg 29, Orange Park, FL 32065-4262 | 2017-11-26 |
| 1629504360 | Christine Mochowski | Behavior Technician | 301 Dora Dr, Orange Park, FL 32073-8747 | 2017-05-01 |
| 1063954824 | Lenoir Anderson | Behavior Technician | 25 Knight Boxx Rd Apt 6201, Orange Park, FL 32065-8043 | 2016-11-10 |
| 1891302394 | Jalana Aareon Prevatt | Behavior Technician | 1563 Kingsley Ave, Orange Park, FL 32073-4503 | 2020-09-29 |
| 1013521061 | Daniel Duane Mcwhite | Behavior Technician | 1563 Kingsley Ave, Orange Park, FL 32073-4503 | 2020-09-06 |
| Find all providers in ORANGE PARK | ||||
| City | ORANGE PARK |
| Zip Code | 32073 |
Please comment or provide details below to improve the information on CARLY JOHNSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.