Samantha Ann Johnson, M.S.
Behavior Analyst in Brooklyn, NY. Individual provider (NPI-1).
NPI number1174879639
StatusActive
Last updated in NPPESMar 4, 2026
Details
- NPI
- 1174879639
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Samantha Ann Johnson
- Credential
- M.S.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 1, 2012
- Certification date
- Mar 4, 2026
- Last updated
- Mar 4, 2026
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 |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | 526688111 | NY | Yes |
Practice location
422 100th St1st Floor
Brooklyn, NY 11209-8309
Phone 347-582-0085
Mailing address
422 100th St1st Floor
Brooklyn, NY 11209-8309
Phone 347-582-0085
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.
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