KELLY ELIZABETH JOHNSON (NPI# 1407166606) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407166606 |
| Entity Type | Individual |
| Full Name | KELLY ELIZABETH JOHNSON |
| Practice Address |
491 Main St Athol MA 01331-1846 |
| Mailing Address |
12 Caroline St Apt. 3 Worcester MA 01604-3810 |
| Practice Telephone | 9782499490 |
| Practice Fax Number | 9782499514 |
| Mailing Telephone | 5087137176 |
| Enumeration Date | 2010-10-21 |
| Last Update Date | 2010-10-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023631249 | Kelly Lynn Johnson | Occupational Therapist | 22123 Figueroa St Unit 113, Carson, CA 90745-4464 | 2020-05-21 |
| 1851932404 | Kelly Christine Johnson | Nurse Practitioner | 7319 Stonerock Cir # 106, Orlando, FL 32819-8002 | 2019-10-04 |
| 1083274989 | Kelly Danielle Johnson | Registered Nurse | 76 Dubois Ct Apt D, Englewood, NJ 07631-3439 | 2019-06-13 |
| 1871151365 | Kelly Johnson | Family Medicine | 103 S White Oak Rd, White Oak, TX 75693-1517 | 2019-05-30 |
| 1194288753 | Kelly Mills Johnson | Psychologist | 100 Bush St Ste 918, San Francisco, CA 94104-3950 | 2019-04-10 |
| 1700345345 | Kelly Marlene Johnson | Nurse Practitioner | 1320 E Oklahoma Ave, Guthrie, OK 73044-3757 | 2019-03-13 |
| 1891253597 | Kelly Marie Johnson | Specialist/Technologist | 1472 Mobley Ct, Frederick, MD 21701-9113 | 2019-03-12 |
| 1447744347 | Kelly Theresa Johnson | Speech-Language Pathologist | 5272 River Rd Ste 100, Bethesda, MD 20816-1454 | 2018-06-14 |
| 1962902882 | Kelly M Johnson | Licensed Vocational Nurse | 118 Brazos Ln, Kyle, TX 78640-5289 | 2018-02-16 |
| 1427573476 | Kelly Colleen Johnson | Social Worker | 2530 Meridian Parkway, Suite 300, Pbn: 3071, Durham, NC 27713-2771 | 2017-08-11 |
| Street Address |
491 MAIN ST |
| City | ATHOL |
| State | MA |
| Zip Code | 01331-1846 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720647217 | Kathryn Melissa Jones | Counselor | 491 Main St, Athol, MA 01331-1846 | 2019-06-10 |
| 1841858669 | Hannah Trinkle | Social Worker | 491 Main St, Athol, MA 01331-1846 | 2019-06-05 |
| 1245791334 | Candace Amistadi | Counselor | 491 Main St, Athol, MA 01331-1846 | 2019-03-29 |
| 1023573953 | Rosanna Selnekovic | Counselor | 491 Main St, Athol, MA 01331-1846 | 2019-02-05 |
| 1144790635 | Elizabeth Nicole Darrigo | Counselor | 491 Main St, Athol, MA 01331-1846 | 2018-11-28 |
| 1881176154 | Tammy Lynn Goodgion | Counselor | 491 Main St, Athol, MA 01331-1846 | 2018-09-04 |
| 1437635513 | Charles Robert Zierle | Counselor | 491 Main St, Athol, MA 01331-1846 | 2018-07-12 |
| 1790277119 | Brooke Elizabeth Sanders | Counselor | 491 Main St, Athol, MA 01331-1846 | 2018-06-01 |
| 1790277465 | Danielle Rose Bassett | Counselor | 491 Main St, Athol, MA 01331-1846 | 2018-05-30 |
| 1013416825 | Justin Nelson | Counselor | 491 Main St, Athol, MA 01331-1846 | 2018-02-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053811786 | Joyce Ann Dean | Physical Therapy Assistant | 821 Daniel Shays Highway, Athol, MA 01331 | 2018-02-19 |
| 1073049441 | Athol Memorial Hospital Incorporated | Clinic/Center | 81 Reservoir Drive, Athol, MA 01331 | 2017-05-04 |
| 1043680317 | Mark Lorion | Counselor | 491 Main St., Athol, MA 01331 | 2015-09-30 |
| 1184969875 | Vicky Mae Blake | Licensed Practical Nurse | 116 Chase Road, Athol, MA 01331 | 2012-12-06 |
| 1487733358 | Dwight K Stowell Jr Dmd | Dentist | 38 Exchange Street, Athol, MA 01331 | 2006-11-03 |
| 1801981493 | Heidi J Foley | Family Medicine | 78 Brickyard Road, Suite 2, Athol, MA 01331 | 2006-10-03 |
| 1437183266 | Jennifer S Mark | Family Medicine | Athol Memorial Hospital, 2033 Main Street, Athol, MA 01331 | 2006-07-10 |
| 1790714079 | Ashley Warner | Family Medicine | 81 Reservoir Dr, Athol, MA 01331 | 2006-06-30 |
| 1790732022 | Corazon Yandoc-maramag | Anesthesiology | 298 R Vine Street, Athol, MA 01331 | 2006-05-30 |
| 1336120047 | Athol Memorial Hospital Incorporated | General Acute Care Hospital | 2033 Main Street, Athol, MA 01331 | 2005-11-09 |
| Find all providers in zip 01331 | ||||
| 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 |
|---|---|---|---|---|
| 1669087227 | Samantha K Wohlers | Behavioral Analyst | 3578 Chestnut Hill Ave, Athol, MA 01331-9216 | 2020-09-10 |
| 1336560291 | Lindsay Bolter | Behavioral Analyst | 123 S Main St, Athol, MA 01331-2131 | 2013-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407455264 | Jennifer Anne Espinal | Behavioral Analyst | 418 Centre St, Boston, MA 02130-5197 | 2020-10-22 |
| 1811596778 | Jennifer L Lutton | Behavioral Analyst | 25 Fair St, Uxbridge, MA 01569-1511 | 2020-10-21 |
| 1730788753 | Catherine Mumbi | Behavioral Analyst | 65 James St Ste 205, Worcester, MA 01603-1036 | 2020-10-21 |
| 1366040990 | Konrad Syrek | Behavioral Analyst | 1472 Riverdale St. Suite A, West Springfield, MA 01089 | 2020-10-15 |
| 1770181497 | Nancy Lee Taylor | Behavioral Analyst | 12 Uplands Rd, Littleton, MA 01460-1117 | 2020-10-14 |
| 1902404072 | Early Steps Intervention Inc | Behavioral Analyst | 101 Billerica Ave, North Billerica, MA 01862-1271 | 2020-10-12 |
| 1861099335 | Vanna Leang | Behavioral Analyst | 1472 Riverdale St, Suite A, West Springfield, MA 01089 | 2020-10-07 |
| 1215534755 | Malakie Berry | Behavioral Analyst | 1472 Riverdale St., Suite A, West Springfield, MA 01089 | 2020-10-07 |
| 1477150399 | Mighty Strides Behavior Solutions LLC | Behavioral Analyst | 549 Pine St Suite 19, Lowell, MA 01851-2336 | 2020-10-04 |
| 1982217394 | Irene Lynne Mcnulty | Behavioral Analyst | 440 E Central St Ste 1, Franklin, MA 02038-1374 | 2020-08-25 |
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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.