MR. MATTHEW CHRISTIAN JOHNSON (NPI# 1013141811) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013141811 |
| Entity Type | Individual |
| Full Name | MR. MATTHEW CHRISTIAN JOHNSON |
| Credential | PH.D. |
| Practice Address |
3010 Mitchellville Road Suite #104 Bowie MD 20716 |
| Practice Telephone | 3013902742 |
| Mailing Telephone | 3013902742 |
| Enumeration Date | 2009-05-07 |
| Last Update Date | 2017-05-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | 05910 | MD | Behavioral Health & Social Service Providers |
| Y | 103K00000X | Behavioral Analyst | PA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336706514 | Matthew Thomas Johnson | Counselor | 4643 American Legion Rd Se, Iowa City, IA 52240-9057 | 2019-05-23 |
| 1053870717 | Matthew Johnson | Physician Assistant | 900 Ocean Beach Hwy Ste 110, Longview, WA 98632 | 2019-03-12 |
| 1023523016 | Matthew Johnson | Specialist/Technologist | 51 Armstrong Rd, Enfield, CT 06082-2731 | 2017-12-12 |
| 1881105914 | Matthew Alan Johnson | Optometrist | 360 Merrimack St Bldg 91, Lawrence, MA 01843-1740 | 2017-10-16 |
| 1801324991 | Matthew Allen Johnson | Psychologist | 1812 Sumner Ave Ste 1, Aberdeen, WA 98520-4602 | 2017-06-01 |
| 1306377288 | Matthew Johnson | Specialist/Technologist | 713 Mill Grove Dr, Audubon, PA 19403 | 2017-03-23 |
| 1386026003 | Matthew Johnson | Dentist | 72 Ashe St Apt A, Charleston, SC 29403-5964 | 2015-06-18 |
| 1992183057 | Matthew Johnson | Specialist/Technologist | 18220 San Lucas Ct, Brookfield, WI 53045-3870 | 2015-05-11 |
| 1487058582 | Matthew John Johnson | Specialist/Technologist | 27 Whittier Dr, Greenlawn, NY 11740-2609 | 2014-10-17 |
| 1265845945 | Matthew Johnson | Behavioral Analyst | 504 S Hays Ave Apt 5, Carbondale, IL 62901-2631 | 2014-06-10 |
| Street Address |
3010 MITCHELLVILLE ROAD SUITE #104 |
| City | BOWIE |
| State | MD |
| Zip Code | 20716 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104995067 | Patrizia Pallaro | Marriage & Family Therapist | 3010 Mitchellville Road, Suite 104, Bowie, MD 20716-6302 | 2006-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508330903 | Stacey Katheryn Lundquist | Counselor | 3060 Michellville Rd, Suite 106, Bowie, MD 20716 | 2019-01-18 |
| 1427528819 | Nicole Rudd | Counselor | 4315 Northview Dr, Bowie, MD 20716 | 2018-11-28 |
| 1427541838 | Outreach Recovery II, LLC | Internal Medicine | 4201 Northview Dr Ste 104, Bowie, MD 20716 | 2018-06-11 |
| 1487143608 | Fatimata Koroma | Counselor | 3953 Elite St, Bowie, MD 20716 | 2018-05-02 |
| 1043739618 | Breanna Collinson | Behavior Technician | 3017 New Oak Ln., Bowie, MD 20716 | 2017-09-15 |
| 1790202000 | Sierra Williams Howell | Nurse Practitioner | 2802 Eliston Street, Bowie, MD 20716 | 2017-08-28 |
| 1487175105 | Martine Jean | Technician | 15911 Pointer Ridge Rd, Bowie, MD 20716 | 2017-07-03 |
| 1902254493 | Olachi Enwerem | Licensed Practical Nurse | 16206 Audubon Lane, Bowie, MD 20716 | 2016-05-25 |
| 1780039230 | Debra Lachaune Garris | Specialist | 3042 Mitchiville Road, Bowie, MD 20716 | 2016-05-03 |
| 1750782553 | Medical Trasportation Systems LLC | Non-emergency Medical Transport (VAN) | 16036 Elegant Ave, Bowie, MD 20716 | 2014-09-11 |
| Find all providers in zip 20716 | ||||
| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. |
| Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548874753 | Jordan Christine Hoskinson | Behavioral Analyst | 2211 Penfield Ln, Bowie, MD 20716-1427 | 2020-09-04 |
| 1215576566 | Devrick Brown | Behavioral Analyst | 13202 Dangelo Dr, Bowie, MD 20720-4726 | 2020-01-04 |
| 1689156226 | Center for Autism and Related Disorders LLC | Behavioral Analyst | 16701 Melford Blvd Ste 413, Bowie, MD 20715-4305 | 2018-08-30 |
| 1205329976 | Yvonne Leah Alleyne | Behavioral Analyst | 5410 Richardsons Endeavor Dr, Bowie, MD 20720-3395 | 2018-06-07 |
| 1992203848 | Cherice Cardwell | Behavioral Analyst | 15518 Norge Ct, Bowie, MD 20716-1378 | 2018-01-25 |
| 1861902801 | Cara Jeanne Marbury | Behavioral Analyst | 3422 Epic Gate, Bowie, MD 20716-3211 | 2017-10-04 |
| 1083132419 | Abibatu Kamara | Behavioral Analyst | 4806 Silverbrook Way, Bowie, MD 20720 | 2017-09-06 |
| 1609319540 | Crimea Baker | Behavioral Analyst | 15480 Annapolis Rd Ste 202, Bowie, MD 20715-1803 | 2016-11-26 |
| 1962820639 | Jacob's Promise LLC | Behavioral Analyst | 4505 Holmehurst Way, Bowie, MD 20720-3455 | 2014-03-31 |
| 1649821877 | Jennifer Aracely Ferman | Behavioral Analyst | 15518 Norge Ct, Bowie, MD 20716-1378 | 2019-09-29 |
| Find all providers in BOWIE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.