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Charis Trisha Johnson

Assistant Behavior Analyst in Lafayette, CA. Individual provider (NPI-1).

NPI number1831689181
StatusActive
Last updated in NPPESMay 12, 2018

Details

NPI
1831689181
Entity type
Individual (NPI-1)
Name
Charis Trisha Johnson
Sex
Female
Sole proprietor
No
Enumeration date
May 12, 2018
Last updated
May 12, 2018

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
106E00000X Assistant Behavior Analyst––Yes

Practice location

3650 Mt Diablo Blvd Ste 107
Lafayette, CA 94549-3780

Phone 510-665-9700

Mailing address

1514 Harmon St
Berkeley, CA 94703-2620

Phone 510-457-6566

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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