Erica Jaala Johnson-Jewell
Behavior Technician in Conyers, GA. Individual provider (NPI-1).
NPI number1104698208
StatusActive
Last updated in NPPESOct 23, 2023
Details
- NPI
- 1104698208
- Entity type
- Individual (NPI-1)
- Name
- Ms. Erica Jaala Johnson-Jewell
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 23, 2023
- Certification date
- Oct 23, 2023
- Last updated
- Oct 23, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
988 Hardin St SwConyers, GA 30012-5314
Phone 404-964-0157
Mailing address
988 Hardin St SwConyers, GA 30012-5314
Phone 404-964-0157
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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.
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