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Justin Johnson

Behavior Technician in El Dorado Hills, CA. Individual provider (NPI-1).

NPI number1174375992
StatusActive
Last updated in NPPESApr 4, 2024

Details

NPI
1174375992
Entity type
Individual (NPI-1)
Name
Justin Johnson
Sex
Male
Sole proprietor
Yes
Enumeration date
Apr 4, 2024
Certification date
Apr 4, 2024
Last updated
Apr 4, 2024

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 codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

4980 Hillsdale Cir Ste A
El Dorado Hills, CA 95762-5726

Phone 916-607-5913

Mailing address

4980 Hillsdale Cir Ste A
El Dorado Hills, CA 95762-5726

Phone 916-607-5913

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 Technician providers in El Dorado Hills, CA

All 483 Behavior Technician providers in El Dorado Hills · All 1,303 providers in El Dorado Hills

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