MARIE KATHLEEN JOHNSON (NPI# 1750868642) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750868642 |
| Entity Type | Individual |
| Full Name | MARIE KATHLEEN JOHNSON |
| Credential | BCBA |
| Practice Address |
10450 72nd Ave Pleasant Prairie WI 53158-2911 |
| Mailing Address |
1850 New St Apt 108 Union Grove WI 53182-1779 |
| Practice Telephone | 6453262657 |
| Mailing Telephone | 2628805581 |
| Enumeration Date | 2018-07-23 |
| Last Update Date | 2018-07-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 242-140 | WI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104142645 | Marie R Johnson | Physician Assistant | 1810 U.S. Highway 82 W, Sherman, TX 75092-7069 | 2010-04-08 |
| 1982708426 | Marie N Johnson | Dentist | 618 S East Ave, Baltimore, MD 21224-3915 | 2006-09-12 |
| 1760491997 | Marie Elizabeth Johnson | Psychologist | 1010 Jorie Boulevard, Suite 246, Oak Brook, IL 60523-1234 | 2006-08-05 |
| 1649230723 | Marie Joyce Johnson | Occupational Therapist | 1100 E Boulevard Ave, Bismarck, ND 58501-4179 | 2006-03-24 |
| 1407497308 | Marie Johnson | Case Manager/Care Coordinator | 2800 Youree Dr Ste 482, Shreveport, LA 71104-3666 | 2019-10-01 |
| 1255997383 | Marie Elizabeth Johnson | Behavior Technician | 1401 E 7th St, Charlotte, NC 28204-6300 | 2019-05-14 |
| 1932641701 | Marie Johnson | Dietitian, Registered | 500 Ne Multnomah St, Portland, OR 97232-2023 | 2016-11-10 |
| 1508236308 | Marie Cooper Johnson | Counselor | 1010 N 9th St, Monroe, LA 71201 | 2015-10-06 |
| 1699157529 | Marie Elizabeth Johnson | Psychologist | 4650 W Sunset Blvd, Mailstop 53, Los Angeles, CA 90027-6062 | 2015-06-27 |
| 1184037939 | Marie Antoinette Johnson | Student in an Organized Health Care Education/Training Program | 2524 Finney Rd, Modesto, CA 95358-9765 | 2014-06-10 |
| Street Address |
10450 72ND AVE |
| City | PLEASANT PRAIRIE |
| State | WI |
| Zip Code | 53158-2911 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194054981 | Jennifer S Stevens | Behavioral Analyst | 10450 72nd Ave, Pleasant Prairie, WI 53158 | 2009-12-08 |
| 1457988081 | Brittany Willich | Behavioral Analyst | 10450 72nd Ave, Pleasant Prairie, WI 53158-2911 | 2020-03-24 |
| 1538714969 | Stephanie Paff | Behavioral Analyst | 10450 72nd Ave, Pleasant Prairie, WI 53158-2911 | 2019-08-02 |
| 1043797616 | Melissa Ann Roberts | Behavioral Analyst | 10450 72nd Ave, Pleasant Prairie, WI 53158-2911 | 2018-07-25 |
| 1063902450 | Kelly Kuennen | Behavioral Analyst | 10450 72nd Ave, Pleasant Prairie, WI 53158-2911 | 2018-05-11 |
| 1689107716 | Nicole Ellish | Behavioral Analyst | 10450 72nd Ave, Pleasant Prairie, WI 53158-2911 | 2017-04-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497393516 | Aurora Surgery Centers, LLC | Clinic/Center | 12500 Aurora Drive, Pleasant Prairie, WI 53158 | 2019-12-19 |
| 1770144297 | Jill Plaisted | Counselor | 8503 75th Street, Suite A, Pleasant Prairie, WI 53158 | 2019-06-25 |
| 1427593847 | Douglas Marion Mcdaniel | Physical Therapy Assistant | 5932 85th St, Pleasant Prairie, WI 53158 | 2016-12-20 |
| 1477095602 | Molly Weber | Speech-Language Pathologist | 8717 82nd St, Apartment 109, Pleasant Prairie, WI 53158 | 2016-11-04 |
| 1568919165 | Nicole Taylor | Specialist/Technologist | 9321 8th Avenue, Pleasant Prairie, WI 53158 | 2016-09-01 |
| 1578980165 | Forefront Dermatology, S.c. | Dermatology | 9020 76th St, Suite E, Pleasant Prairie, WI 53158 | 2014-03-21 |
| 1750603130 | Shelley L Johnson | Nurse Practitioner | 9697 Saint Catherines Dr # 300, Pleasant Prairie, WI 53158 | 2010-02-25 |
| 1932273398 | Pamela Anderson | Registered Nurse | 11202 79 Street, Pleasant Prairie, WI 53158 | 2006-11-20 |
| 1033205562 | Holly Seidman | Pharmacist | 1309 110th Street, Pleasant Prairie, WI 53158 | 2006-10-04 |
| 1588671838 | Daniel James Johnson | Dentist | 9809 39th Avenue, Suite #1, Pleasant Prairie, WI 53158 | 2006-08-01 |
| Find all providers in zip 53158 | ||||
| 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 |
|---|---|---|---|---|
| 1194054981 | Jennifer S Stevens | Behavioral Analyst | 10450 72nd Ave, Pleasant Prairie, WI 53158 | 2009-12-08 |
| 1457988081 | Brittany Willich | Behavioral Analyst | 10450 72nd Ave, Pleasant Prairie, WI 53158-2911 | 2020-03-24 |
| 1538714969 | Stephanie Paff | Behavioral Analyst | 10450 72nd Ave, Pleasant Prairie, WI 53158-2911 | 2019-08-02 |
| 1043797616 | Melissa Ann Roberts | Behavioral Analyst | 10450 72nd Ave, Pleasant Prairie, WI 53158-2911 | 2018-07-25 |
| 1063902450 | Kelly Kuennen | Behavioral Analyst | 10450 72nd Ave, Pleasant Prairie, WI 53158-2911 | 2018-05-11 |
| 1689107716 | Nicole Ellish | Behavioral Analyst | 10450 72nd Ave, Pleasant Prairie, WI 53158-2911 | 2017-04-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104424332 | David Alberts | Behavioral Analyst | 502 Atlas Ave, Madison, WI 53714-3108 | 2020-10-09 |
| 1518574516 | Chelsey Logan | Behavioral Analyst | 519 Midland Ct Ste 2and5, Janesville, WI 53546-2348 | 2020-09-24 |
| 1982218327 | Brooke Boss | Behavioral Analyst | N4103 Dam Rd, Delavan, WI 53115-2979 | 2020-09-02 |
| 1972115426 | Amber L Allen | Behavioral Analyst | 10930 W Potter Rd Ste A, Wauwatosa, WI 53226-3450 | 2020-08-17 |
| 1033728753 | Kristin Nichol Floss | Behavioral Analyst | N4175 County Road K, Shawano, WI 54166-7036 | 2020-07-28 |
| 1316556111 | Melissa Ann Bowman | Behavioral Analyst | 3333 N Mayfair Rd Ste 110, Wauwatosa, WI 53222-3219 | 2020-07-28 |
| 1194343707 | Bridges Consultation and Treatment | Behavioral Analyst | W4874 Edelweiss Road, New Glarus, WI 53574 | 2020-07-09 |
| 1811512296 | Amy Cliff Graham | Behavioral Analyst | 410 N Shore Dr, Scandinavia, WI 54977-9215 | 2020-06-11 |
| 1174147078 | Emma Castrogiovanni | Behavioral Analyst | 575 Donofrio Dr Ste 200, Madison, WI 53719-2832 | 2020-06-05 |
| 1407470685 | Emily Wendt | Behavioral Analyst | 4500 Industrial Park Rd, Stevens Point, WI 54481-5014 | 2020-06-03 |
| Find all providers with the same taxonomy | ||||
| City | PLEASANT PRAIRIE |
| Zip Code | 53158 |
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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.