PAUL ROBERT JOHNSON (NPI# 1629268784) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629268784 |
| Entity Type | Individual |
| Full Name | PAUL ROBERT JOHNSON |
| Credential | BCBA |
| Practice Address |
16715 Ne 79th St Redmond WA 98052-4425 |
| Mailing Address |
22651 Ne Fern Reach Cir Redmond WA 98053-2031 |
| Practice Telephone | 4252812988 |
| Practice Fax Number | 4256506916 |
| Mailing Telephone | 4252812988 |
| Mailing Fax Number | 4256506916 |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2013-02-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | CG60334843 | WA | Behavioral Health & Social Service Providers |
| Y | 222Q00000X | Developmental Therapist | 1-06-2882 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356757850 | Paul Johnson | Dentist | 1301 N 40th St, Lincoln, NE 68503-2109 | 2014-07-03 |
| 1912337387 | Paul Richard Johnson | Dentist | 13132 Newport Blvd, Suite 200, Tustin, CA 92780 | 2013-11-20 |
| 1720394034 | Paul E Johnson Jr. | Psychologist | 1389 Mapleton Rd, Mapleton, ME 04757-4501 | 2010-08-24 |
| 1760645006 | Paul Louis Johnson | Anesthesiology | Dept of Anesthesiology Univ of Kentucky, 800 Rose Street, Lexington, KY 40536-0001 | 2008-07-07 |
| 1770742876 | Paul Andrew Johnson | Dentist | 2901 Pioneer Ave, Rice Lake, WI 54868-2434 | 2008-06-03 |
| 1023288255 | Paul David Johnson | Dentist | 25 Pine Cone Drive, Suite 1, Palm Coast, FL 32164 | 2008-03-04 |
| 1467577627 | Paul Edward Johnson | Pharmacist | 3803 South Main St, Marion, NY 14505-0047 | 2007-03-20 |
| 1659495497 | Paul D Johnson | Family Medicine | 221 North 12th Street, Suite 300, Kansas City, KS 66102-0000 | 2007-03-19 |
| 1932242435 | Paul Leo Johnson | Optometrist | 11033 Carolina Place Pkwy, Pineville, NC 28134-8370 | 2007-02-14 |
| 1669529780 | Paul B Johnson | Ophthalmology | 1923 Mount Vernon St, Philadelphia, PA 19130-3213 | 2007-01-03 |
| Street Address |
16715 NE 79TH ST |
| City | REDMOND |
| State | WA |
| Zip Code | 98052-4425 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457795163 | Zeinab Warsame | Behavioral Analyst | 16715 Ne 79th St, Redmond, WA 98052-4425 | 2013-04-24 |
| 1821432816 | Josh Cantrell | Behavioral Analyst | 16715 Ne 79th St, Redmond, WA 98052-4425 | 2013-04-22 |
| 1841634821 | Michelle Krinke | Behavioral Analyst | 16715 Ne 79th St, Redmond, WA 98052-4425 | 2013-04-22 |
| 1922442854 | Cameron Reid Havens | Behavioral Analyst | 16715 Ne 79th St, Redmond, WA 98052-4425 | 2013-04-22 |
| 1891139887 | Sanaz Amini | Behavioral Analyst | 16715 Ne 79th St, Redmond, WA 98052-4425 | 2013-04-22 |
| 1407290489 | Justine Hope Bushnell | Behavioral Analyst | 16715 Ne 79th St, Redmond, WA 98052-4425 | 2013-04-22 |
| 1811230337 | Angela Marie Wells | Behavioral Analyst | 16715 Ne 79th St, Redmond, WA 98052 | 2013-04-03 |
| 1194067231 | Foundations for Learning and Behavior | Community/Behavioral Health | 16715 Ne 79th St, Redmond, WA 98052-4425 | 2013-03-26 |
| 1639475841 | Deborah Cobb | Massage Therapist | 16715 Ne 79th St, Redmond, WA 98052-4425 | 2011-02-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396301255 | Saraa Abdulateef | Dentist | 16150 Ne 85th St., #212, Redmond, WA 98052 | 2019-05-16 |
| 1174186837 | Zeinab Birjandian | Student in an Organized Health Care Education/Training Program | Carilion Roanoke Memorial Hospital, 1906 Belleview Ave, Roanoke, VA 98052 | 2019-04-18 |
| 1023584026 | Washington Dental Corporation, PC | Dentist | 17126 Redmond Way, Redmond, WA 98052 | 2018-10-17 |
| 1275047599 | Simeon P Roth | Pharmacist | 8547 Avondale Road Ne, Redmond, WA 98052 | 2017-11-22 |
| 1427560267 | Rania Abou Shadi | Pharmacy | 8862 161st Avenue Ne, Suite 102, Redmond, WA 98052 | 2017-11-02 |
| 1376068981 | Mark W Debourke | Clinic/Center | 7579 Old Redmond Rd, Apt 6, Redmond, WA 98052 | 2017-08-04 |
| 1740712280 | Hyomi Cho | Dentist | 15165 Ne24 Th St, Redmond, WA 98052 | 2017-04-03 |
| 1871033878 | Redmond Ambulatory Surgery Center, LLC | Clinic/Center | 18100 Ne Union Hill Rd Ste 340, Redmond, WA 98052 | 2017-02-24 |
| 1346797933 | Bridger Griffin | Speech-Language Pathologist | 8301 16st Ave Ne, Redmond, WA 98052 | 2016-09-01 |
| 1508313123 | Austin Schieler | Pharmacist | 14480 Ne 24th Street, Redmond, WA 98052 | 2016-09-01 |
| Find all providers in zip 98052 | ||||
| Taxonomy Code | 222Q00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Developmental Therapist |
| A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Developmental Therapy Association. A developmental therapist evaluates children's global development in order to identify areas of developmental delay whether arising from physiological, neurological, or environmental factors, or a combination of factors; and designs, implements, and modifies therapeutic interventions for the child and the family to promote the child's acquisition of skills in a variety of developmental areas, including cognitive processes and social interaction in order to maximize functional independence and developmental homeostasis, and improve the quality of life at home and in the community; and provides consultation for the parents and other professionals working with the family on global development. |
| Notes: Source: The Illinois Developmental Therapists Association [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942859038 | Nicole Johnson | Developmental Therapist | 7355 13th Ave Nw, Seattle, WA 98117-5306 | 2019-09-10 |
| 1881187219 | Aba Outreach of Washington, LLC | Developmental Therapist | 2415 240th Pl Sw, Brier, WA 98036-8466 | 2018-06-11 |
| 1104247493 | Mackenzie Wann | Developmental Therapist | 3921 Whitman Ave N, 41, Seattle, WA 98103-7848 | 2014-01-03 |
| 1578890463 | Alicia Eno | Developmental Therapist | 651 Strander Blvd Ste 105, Tukwila, WA 98188 | 2009-11-12 |
| 1134600265 | Nicolle Elizabeth Maurer | Developmental Therapist | 221 Avenue B, Snohomish, WA 98290-2840 | 2018-08-27 |
| 1285025767 | Whole Child Therapy Services, LLC | Developmental Therapist | 18223 Rampart Dr Se, Yelm, WA 98597-9018 | 2015-02-05 |
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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.