Cassandra Johnson
Behavior Technician in Gilbert, AZ. Individual provider (NPI-1).
NPI number1184293441
StatusActive
Last updated in NPPESJun 22, 2021
Details
- NPI
- 1184293441
- Entity type
- Individual (NPI-1)
- Name
- Cassandra Johnson
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 22, 2021
- Certification date
- Jun 22, 2021
- Last updated
- Jun 22, 2021
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
1166 S Gilbert RdSuite 106
Gilbert, AZ 85296-3460
Phone 303-989-8169
Mailing address
1166 S Gilbert RdSuite 106
Gilbert, AZ 85296-3460
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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