REGGIE JOHNSON (NPI# 1528595006) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528595006 |
| Entity Type | Individual |
| Full Name | REGGIE JOHNSON |
| Practice Address |
3737 Portland Rd Ne Salem OR 97301 |
| Mailing Address |
3737 Portland Rd Ne Salem OR 97301-0311 |
| Practice Telephone | (503) 390-2600 |
| Mailing Telephone | 5033902600 |
| Enumeration Date | 2017-05-16 |
| Last Update Date | 2018-06-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912376658 | Reggie Johnson | Non-emergency Medical Transport (VAN) | 4926 Silent Lk, San Antonio, TX 78244-2067 | 2015-09-23 |
| 1053731034 | Reggie Johnson | Counselor | 177 East 122nd Street, Ny, NY 10035 | 2014-04-17 |
| Street Address |
3737 PORTLAND RD NE |
| City | SALEM |
| State | OR |
| Zip Code | 97301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689890493 | Marcus Eric Berglund | Marriage & Family Therapist | 3737 Portland Rd Ne, Salem, OR 97303-2511 | 2007-04-18 |
| 1841824240 | Paola Ramirez Del Valle | Community Health Worker | 3737 Portland Rd Ne, Salem, OR 97301-0311 | 2020-02-25 |
| 1255962684 | Loren Calkins | Marriage & Family Therapist | 3737 Portland Rd Ne, Salem, OR 97301-0311 | 2020-02-04 |
| 1659939791 | Laurel Becker | Counselor | 3737 Portland Rd Ne, Salem, OR 97301-0311 | 2019-06-04 |
| 1386202067 | Patricia Duncan | Counselor | 3737 Portland Rd Ne, Salem, OR 97301-0311 | 2019-05-29 |
| 1992264311 | Valerie Edwards | Case Manager/Care Coordinator | 3737 Portland Rd Ne, Salem, OR 97301-0311 | 2019-03-15 |
| 1487146239 | Hector Virgen-marquez | Case Manager/Care Coordinator | 3737 Portland Rd Ne, Salem, OR 97301-0311 | 2018-06-06 |
| 1669964680 | Mark Beach | Behavior Technician | 3737 Portland Rd Ne, Salem, OR 97301-0311 | 2018-06-05 |
| 1780180141 | Kimberly J Moore | Respite Care | 3737 Portland Rd Ne, Salem, OR 97301-0311 | 2018-04-04 |
| 1073019436 | Tracy L Young | Respite Care | 3737 Portland Rd Ne, Salem, OR 97301-0311 | 2018-04-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205450970 | Jehan Seals | Behavior Technician | 3400 State St Set G750, Salem, OR 97301 | 2020-05-29 |
| 1093335929 | Sterling Recovery, LLC | Dietitian, Registered | 3758 Amber St Ne #105, Salem, OR 97301 | 2020-04-21 |
| 1760018360 | Riverfront Mental Health LLC | Counselor | 338 State St, Suite 985, Salem, OR 97301 | 2020-03-16 |
| 1871126888 | Amity Beth Haddon Maxwell | Social Worker | Oregon State Hospital, 2600 Center St Ne, Salem, OR 97301 | 2020-02-18 |
| 1861042632 | Brenda Grizelda Vargas | Behavioral Analyst | 3400 State Ste Ste G750, Salem, OR 97301 | 2019-09-13 |
| 1588213177 | Natalie Stone | Registered Nurse | 2045 Siverton Rd Ne, Salem, OR 97301 | 2019-09-06 |
| 1588228720 | Jeramy Disenso | Counselor | 270 Cottage St Ne, Salem, OR 97301 | 2019-04-23 |
| 1801353297 | Gwendolyn Kersey | Registered Nurse | 2600 Center St Ne Oregon State Hospital, Salem, OR 97301 | 2019-02-21 |
| 1841769114 | Spine Clinic PC | Massage Therapist | 1281 Lancaster Drive Ne, Salem, OR 97301 | 2018-11-16 |
| 1013482132 | Kellie Linn Hansen | Physical Therapist | 4049 Market St Se, Salem, OR 97301 | 2018-10-04 |
| Find all providers in zip 97301 | ||||
| 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 |
|---|---|---|---|---|
| 1205450970 | Jehan Seals | Behavior Technician | 3400 State St Set G750, Salem, OR 97301 | 2020-05-29 |
| 1184246290 | Jill Casazza | Behavior Technician | 21 Merrill Ave, Salem, NH 03079-2729 | 2020-05-12 |
| 1972135515 | Joseph Coppellotti | Behavior Technician | 12 Cushing St, Salem, MA 01970-1508 | 2020-02-11 |
| 1730723289 | Samantha Muniz-pierzina | Behavior Technician | 2550 Lancaster Dr Ne Apt 43, Salem, OR 97305-1212 | 2019-10-28 |
| 1295384733 | Adedayo M Adenekan | Behavior Technician | 109 Country Club Est, Salem, IL 62881-3631 | 2019-09-07 |
| 1487209706 | Phylleshia Manglona Aquino | Behavior Technician | 4430 Conser Way Ne Apt 201, Salem, OR 97305-4056 | 2019-08-04 |
| 1457904500 | Linda Thomas-drouin | Behavior Technician | 21 Sand Hill Rd Apt 23, Salem, NH 03079-4337 | 2019-07-18 |
| 1750934006 | Ashley L. Hayes | Behavior Technician | 7 Ballard Ln, Salem, NH 03079-2473 | 2019-07-16 |
| 1548820129 | Kiley Elizabeth Sheehan | Behavior Technician | 3790 Auburn Rd Ne, Salem, OR 97301-4763 | 2019-06-17 |
| 1184289001 | Mckenna Dipietro | Behavior Technician | 20 Matthias St, Salem, NH 03079-3205 | 2019-05-06 |
| Find all providers in SALEM | ||||
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| 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.