MS. TISHA YOLANDA JOHNSON (NPI# 1083242556) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083242556 |
| Entity Type | Individual |
| Full Name | MS. TISHA YOLANDA JOHNSON |
| Practice Address |
4624 Park St Jacksonville FL 32205-7327 |
| Mailing Address |
4429 Melvin Cir E Jacksonville FL 32210-4731 |
| Practice Telephone | 9045030131 |
| Mailing Telephone | 9048620372 |
| Enumeration Date | 2020-03-31 |
| Last Update Date | 2020-03-31 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902322514 | Tisha Johnson | Non-emergency Medical Transport (VAN) | 14723 W Oaks Plaza St, 231, Houston, TX 77082 | 2017-08-15 |
| 1629274089 | Tisha M Johnson | Psychologist | 2255 Cumberland Pkwy Se, Building 600, Suite 150, Atlanta, GA 30339-4515 | 2007-06-22 |
| 1285644146 | Tisha K. Johnson | Internal Medicine | 1101 Veterans Dr, Lexington, KY 40502-2235 | 2006-08-09 |
| Street Address |
4624 PARK ST |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32205-7327 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154600419 | Clifford C Burditt Jr. | Behavioral Analyst | 4624 Park St, Jacksonville, FL 32205-7327 | 2011-08-04 |
| 1104427046 | Justine Noelle Ferguson | Behavior Technician | 4624 Park St, Jacksonville, FL 32205-7327 | 2020-11-06 |
| 1356941314 | Joshua E Ordu | Behavior Technician | 4624 Park St, Jacksonville, FL 32205-7327 | 2020-10-29 |
| 1659971638 | Brooke Elizabeth Lee | Behavior Technician | 4624 Park St, Jacksonville, FL 32205-7327 | 2020-10-28 |
| 1356954275 | Madison Bernarding | Behavior Technician | 4624 Park St, Jacksonville, FL 32205-7327 | 2020-08-29 |
| 1184237133 | Samantha Sharee Hall | Behavior Technician | 4624 Park St, Jacksonville, FL 32205-7327 | 2020-08-28 |
| 1962013334 | Erica Nicole Stockwell | Behavior Technician | 4624 Park St, Jacksonville, FL 32205-7327 | 2020-08-11 |
| 1417566969 | Felicia A Beckner | Behavior Technician | 4624 Park St, Jacksonville, FL 32205-7327 | 2020-07-29 |
| 1952928517 | De'anna Tenae Nicholas | Behavior Technician | 4624 Park St, Jacksonville, FL 32205-7327 | 2020-06-30 |
| 1710510961 | India May La Haise | Behavior Technician | 4624 Park St, Jacksonville, FL 32205-7327 | 2020-02-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003466830 | Brandon Neil Hillard | Registered Nurse | 1260 Mcduff Ave. South, Suite 4, Jacksonville, FL 32205 | 2019-09-13 |
| 1720436363 | Ericka Sampson | Massage Therapist | 6859 Lenox Ave., Suite 6, Jacksonville, FL 32205 | 2016-05-24 |
| 1578921631 | Northstar Counseling | Counselor | 1672 Pershing Rd, Jacksonville, FL 32205 | 2016-02-04 |
| 1649645144 | Magaly Perez-cruz | Speech-Language Pathologist | 4101-1 College Street, Jacksonville, FL 32205 | 2015-12-09 |
| 1639448723 | First Choice Adult Daycare and Home Health Ca | Specialist | 5336 Quan Drive, Jacksonville, FL 32205 | 2011-12-20 |
| 1437434222 | Christopher Styer | Pharmacist | 654 Casset Ave, Jacksonville, FL 32205 | 2011-10-12 |
| 1871827279 | April Marie Felton | Nurse Practitioner | 500 E. Adams Street, Bay Street Health Center, Jacksonville, FL 32205 | 2009-10-01 |
| 1922244821 | Danielle Marie Sergent | Physical Therapist | 5222 Lenox Ave., Jacksonville, FL 32205 | 2008-12-23 |
| 1427181775 | Lapp & Associates Behavioral Counselind Ctr | Counselor | 931 Cassat Avenue, Jacksonville, FL 32205 | 2007-03-14 |
| 1629143326 | Elias Moussa Sargi | Dentist | 2700 Riverside Avenue, Ste 10, Jacksonville, FL 32205 | 2006-11-21 |
| Find all providers in zip 32205 | ||||
| Taxonomy Code | 106S00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavior Technician |
| The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work. |
| Notes: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215544424 | Brianna Rene Lavoie | Behavior Technician | 113g N Marine Blvd, Jacksonville, NC 28540-6508 | 2020-09-30 |
| 1013524925 | Renee Cherie Titus | Behavior Technician | Growing Together Center 6789 Southpoint Parkway, Building 100, Jacksonville, FL 32216 | 2020-09-24 |
| 1558977330 | Samantha Jo Gilmore | Behavior Technician | 2893 Post St Apt 4, Jacksonville, FL 32205-7447 | 2020-09-17 |
| 1639784135 | Rhianna Fiona Valencia | Behavior Technician | 7718 Tunica Ct, Jacksonville, FL 32244-8169 | 2020-09-11 |
| 1710590302 | Olivia Link | Behavior Technician | 2525 Dunn Ave Ste 2, Jacksonville, FL 32218-4680 | 2020-08-25 |
| 1821600768 | Emily Mary Ross | Behavior Technician | 2869 Post St, Jacksonville, FL 32205-7456 | 2020-08-21 |
| 1639789290 | April Elaine Crews | Behavior Technician | 9000 Southside Blvd, Jacksonville, FL 32256-0793 | 2020-08-07 |
| 1225656937 | Roxana Maldonado | Behavior Technician | 2425 Dunn Ave # Sre2, Jacksonville, FL 32218-4603 | 2020-07-09 |
| 1023639747 | Maaria Chehab | Behavior Technician | 7668 Saw Timber Ln, Jacksonville, FL 32256-2354 | 2020-05-05 |
| 1255966024 | Okeya Johnson | Behavior Technician | 7960 103rd St Apt 1205, Jacksonville, FL 32210-6659 | 2020-03-11 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32205 |
Please comment or provide details below to improve the information on MS. TISHA YOLANDA JOHNSON.
| 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.