Bulk check

Jordyn M Johnson, BCBA

Behavior Analyst in Glen Carbon, IL. Individual provider (NPI-1).

NPI number1063907855
StatusActive
Last updated in NPPESJan 9, 2023

Details

NPI
1063907855
Entity type
Individual (NPI-1)
Name
Jordyn M Johnson
Credential
BCBA
Sex
Female
Sole proprietor
No
Enumeration date
Jun 25, 2018
Certification date
Jan 6, 2023
Last updated
Jan 9, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103K00000X Behavior Analyst––Yes

Other names

  • Jordyn M Roady (Former Name)

Practice location

4559 Benes Ave
Glen Carbon, IL 62034

Phone 217-525-8332 · Fax 217-789-1420

Mailing address

5220 6th Street Frontage Rd E Ste 1700
Springfield, IL 62703-5771

Phone 217-525-8332 · Fax 217-789-1420

Other practice locations

115 Rottingham Ct Ste A
Edwardsville, IL 62025-3677

Phone 866-522-2467 · Fax 217-789-1420

5220 6th Street Frontage Rd E Ste 1700
Springfield, IL 62703-5771

Phone 217-525-8332 · Fax 217-789-1420

145 Springfield Ct
O Fallon, IL 62269-2495

Phone 217-525-8332 · Fax 217-789-1420

3022 S Park Ave Ste B
Herrin, IL 62948-3721

Phone 217-525-8332 · Fax 217-789-1420

2315 N Park Ave
Herrin, IL 62948-3046

Phone 217-525-8332 · Fax 217-789-1420

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Behavior Analyst providers in Glen Carbon, IL

All 5 Behavior Analyst providers in Glen Carbon · All 512 providers in Glen Carbon

Checking a whole list?

Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.

Start a bulk check