BETHANY JOHNSON (NPI# 1619417235) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619417235 |
| Entity Type | Individual |
| Full Name | BETHANY JOHNSON |
| Credential | M.ED., BCBA, LABA |
| Practice Address |
647 13th Ave E Ste A West Fargo ND 58078-3328 |
| Practice Telephone | 7012778844 |
| Practice Fax Number | 7012778847 |
| Mailing Telephone | 7012778844 |
| Mailing Fax Number | 7012778847 |
| Enumeration Date | 2017-03-01 |
| Last Update Date | 2017-03-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | L24 | ND | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043692254 | Bethany Johnson | Home Health Aide | 981 Deer Chase Court, Stone Mountain, GA 30088 | 2015-06-24 |
| 1871925990 | Bethany Anne Johnson | Counselor | 3050 S. National Ave, 104, Springfield, MO 65804-4807 | 2013-07-31 |
| 1356621569 | Bethany K Johnson | Midwife | 1210 Clark Springs Dr, Keller, TX 76248-3642 | 2011-08-18 |
| 1295956803 | Bethany Johnson | Occupational Therapy Assistant | 2705 Se G Street, Suite 1, Bentonville, AR 72712 | 2007-05-01 |
| 1376171835 | Bethany Noel Johnson | Counselor | 231 E Main St, Lexington, OH 44904-1353 | 2020-03-31 |
| 1427682020 | Bethany Johnson | Speech-Language Pathologist | 525 W Oakland Ave Ste 205, Johnson City, TN 37604-1673 | 2020-02-24 |
| 1144868357 | Bethany Ann Johnson | Counselor | 631 S 1st St, Dekalb, IL 60115-4117 | 2019-12-18 |
| 1841859287 | Bethany Lynne Johnson | Pediatrics | Children's Hospital Outpatient Center, 14 Medical Park, Ste 400, Columbia, SC 29203 | 2019-06-10 |
| 1861968554 | Bethany Ann Johnson | Case Manager/Care Coordinator | 807 E Washington St Ste 150, Medina, OH 44256-3339 | 2018-10-19 |
| 1053892133 | Bethany Anne Johnson | Case Manager/Care Coordinator | 1560 Capalina Rd, San Marcos, CA 92069-1288 | 2018-08-27 |
| Street Address |
647 13TH AVE E STE A |
| City | WEST FARGO |
| State | ND |
| Zip Code | 58078-3328 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699315309 | Racheal Stroh | Behavior Technician | 647 13th Ave E Ste A, West Fargo, ND 58078-3328 | 2020-01-10 |
| 1639718257 | Jennifer Slavick | Behavior Technician | 647 13th Ave E Ste A, West Fargo, ND 58078-3328 | 2019-12-30 |
| 1336786334 | Alyssa Jeffries | Behavior Technician | 647 13th Ave E Ste A, West Fargo, ND 58078-3328 | 2019-12-09 |
| 1598308421 | Megan Widmer | Behavior Technician | 647 13th Ave E Ste A, West Fargo, ND 58078-3328 | 2019-10-23 |
| 1891338752 | Sierra Wock | Behavior Technician | 647 13th Ave E Ste A, West Fargo, ND 58078-3328 | 2019-10-23 |
| 1720621162 | Jackson Lindom | Behavior Technician | 647 13th Ave E Ste A, West Fargo, ND 58078-3328 | 2019-10-17 |
| 1558912857 | Dani Werkhoven | Behavior Technician | 647 13th Ave E Ste A, West Fargo, ND 58078-3328 | 2019-09-27 |
| 1861043168 | Brittany Nack | Behavior Technician | 647 13th Ave E Ste A, West Fargo, ND 58078-3328 | 2019-09-27 |
| 1871143842 | Patience Wolfe | Behavior Technician | 647 13th Ave E Ste A, West Fargo, ND 58078-3328 | 2019-09-12 |
| 1902452766 | Savana Kalenberg | Behavior Technician | 647 13th Ave E Ste A, West Fargo, ND 58078-3328 | 2019-08-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982205068 | Ashley Kasson Therapy | Counselor | 3220 4th St E, West Fargo, ND 58078 | 2020-11-04 |
| 1427658624 | Deedee (dorin) Ngwe | Technician | 3240 9th S West Apt. 204, West Fargo, ND 58078 | 2020-10-27 |
| 1053879734 | Mpnd,inc | Pharmacy | 2050 Sheyenne Street, West Fargo, ND 58078 | 2019-03-12 |
| 1396239216 | Luke Gable | Behavior Technician | 647 13th Avenue South, West Fargo, ND 58078 | 2018-06-15 |
| 1629597919 | Cody Freng | Specialist/Technologist | 3276 9th St W Apt C, West Fargo, ND 58078 | 2017-09-18 |
| 1831613942 | Lauren Phyllis Loe | Physical Therapist | 1401 13th Avenue East, Essentia Health West Fargo Clinic, West Fargo, ND 58078 | 2017-07-31 |
| 1851746226 | Jodi Kilen | Occupational Therapy Assistant | 631 4th Ave East, West Fargo, ND 58078 | 2016-05-04 |
| 1922490101 | Betty Ann Helmer | Social Worker | 2355 Meadow Ridge Parkway, West Fargo, ND 58078 | 2015-02-25 |
| 1477972784 | Tessa Nicole Larson | Occupational Therapist | 3139 Bluestem Dr Ste 108, West Fargo, ND 58078 | 2014-04-15 |
| 1023432010 | Kaylyn Kortes | Licensed Practical Nurse | 1302 Sheyenne St, West Fargo, ND 58078 | 2014-02-11 |
| Find all providers in zip 58078 | ||||
| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. |
| Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780924076 | Heart of Behavior, LLC | Behavioral Analyst | 1306 Westport Beach Way, West Fargo, ND 58078-8860 | 2013-02-22 |
| 1104081116 | North Dakota Autism Center, Inc | Behavioral Analyst | 647 13th Ave E, Ste A, West Fargo, ND 58078-3328 | 2008-07-20 |
| 1881091494 | Ashley Flynn-privett | Behavioral Analyst | 647 13th Ave E, A, West Fargo, ND 58078-3328 | 2014-11-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902415995 | Laura J Akin | Behavioral Analyst | 1819 5th St Se Apt 11, Minot, ND 58701-6629 | 2020-07-27 |
| 1831687532 | Jacquelyn Mahoney | Behavioral Analyst | 604 North Ave, Bismarck, ND 58501 | 2018-04-27 |
| 1922514397 | Brittney Denae Hansen | Behavioral Analyst | 5420 Mac Dr, Grand Forks, ND 58201-3004 | 2017-12-21 |
| 1265957617 | Cassandra Czerwonka | Behavioral Analyst | 1408 20th Ave Sw, Suite 7, Minot, ND 58701 | 2017-08-07 |
| 1851814636 | Erinn Larkin | Behavioral Analyst | 1929 N Washington St Ste X, Bismarck, ND 58501-1616 | 2017-07-24 |
| 1407399652 | Patrick Kellam | Behavioral Analyst | 701 3rd Ave Nw, Jamestown, ND 58401-3020 | 2016-11-21 |
| 1558818781 | Allison Smith | Behavioral Analyst | 2405 W Country Club Dr S, Fargo, ND 58103-5738 | 2016-09-06 |
| 1306299011 | Toby Trontvet | Behavioral Analyst | 2520 Chestnut St, Grand Forks, ND 58201-7520 | 2016-07-18 |
| 1619293164 | Barbara J. Peterson | Behavioral Analyst | 1035 W Avenue B, Bismarck, ND 58501-2407 | 2010-04-08 |
| 1598379091 | Alyssa Johnson | Behavioral Analyst | 1237 W Divide Ave Ste 5, Bismarck, ND 58501-1208 | 2020-09-02 |
| Find all providers with the same taxonomy | ||||
| City | WEST FARGO |
| Zip Code | 58078 |
Please comment or provide details below to improve the information on BETHANY 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.