Jeremy Johnson
Behavior Technician in Fishers, IN. Individual provider (NPI-1).
NPI number1679490403
StatusActive
Last updated in NPPESJul 2, 2026
Details
- NPI
- 1679490403
- Entity type
- Individual (NPI-1)
- Name
- Jeremy Johnson
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 2, 2026
- Certification date
- Jul 2, 2026
- Last updated
- Jul 2, 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 |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | RBT-26-541498 | IN | Yes |
Practice location
11807 Allisonville Rd # 522Fishers, IN 46038-2313
Phone 317-572-5315
Mailing address
11807 Allisonville Rd # 522Fishers, IN 46038-2313
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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All 565 Behavior Technician providers in Fishers · All 2,664 providers in Fishers
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