SHAUN JOHNSON (NPI# 1780215483) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780215483 |
| Entity Type | Individual |
| Full Name | SHAUN JOHNSON |
| Practice Address |
6211 Southwest Blvd Benbrook TX 76132-1080 |
| Practice Telephone | 8172498100 |
| Mailing Telephone | 8172498100 |
| Enumeration Date | 2020-01-31 |
| Last Update Date | 2020-01-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | RBT-20-110312 | TX | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427224369 | Shaun Johnson | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 14 Ivanhoe Pl, Valley Stream, NY 11580-2902 | 2008-04-30 |
| 1821370214 | Shaun Kelly Johnson | Physician Assistant | 1650 Cochrane Cir, Credentials Office Rm 2537, Fort Carson, CO 80913-4603 | 2011-09-13 |
| Street Address |
6211 SOUTHWEST BLVD |
| City | BENBROOK |
| State | TX |
| Zip Code | 76132-1080 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932682333 | Emily Lewis | Technician, Other | 6211 Southwest Blvd, Benbrook, TX 76132-1080 | 2018-09-11 |
| 1689271124 | Makayla Shanahan | Behavior Technician | 6211 Southwest Blvd, Benbrook, TX 76132-1080 | 2020-10-07 |
| 1164039335 | Cheyenne Michele Smith | Behavior Technician | 6211 Southwest Blvd, Benbrook, TX 76132-1080 | 2020-09-30 |
| 1215545553 | Zachary Sterling | Behavior Technician | 6211 Southwest Blvd, Benbrook, TX 76132-1080 | 2020-07-22 |
| 1801411343 | Crystal Gonzales | Behavior Technician | 6211 Southwest Blvd, Benbrook, TX 76132-1080 | 2020-06-10 |
| 1215551445 | Allie Robinson | Behavior Technician | 6211 Southwest Blvd, Benbrook, TX 76132-1080 | 2020-06-03 |
| 1750916508 | Kasadie Russell | Behavior Technician | 6211 Southwest Blvd, Benbrook, TX 76132-1080 | 2020-03-11 |
| 1578102372 | Tiana Allena Howard | Behavior Technician | 6211 Southwest Blvd, Benbrook, TX 76132-1080 | 2019-12-27 |
| 1740825561 | Sheryl Wilbanks | Behavior Technician | 6211 Southwest Blvd, Benbrook, TX 76132-1080 | 2019-11-15 |
| 1104469691 | Aislinn Pool | Behavior Technician | 6211 Southwest Blvd, Benbrook, TX 76132-1080 | 2019-10-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528669843 | Rubilene Spinks | Pharmacist | 6300 Oakmount Blvd, Fort Worth, TX 76132 | 2020-11-03 |
| 1942839113 | Fort Physicians & Professionals Pllc | Psychiatry & Neurology | 7140 Oakmont Boulevard, Fort Worth, TX 76132 | 2020-04-08 |
| 1134781792 | Daniel Max & Marcandrea LLC | Optometrist | 4619 S Hulen St, Suite C, Fort Worth, TX 76132 | 2019-07-03 |
| 1568029320 | Ty Desilets | Physical Therapist | 5959 Bryant Irvin Rd Suite 100, Fort Worth, TX 76132 | 2019-05-28 |
| 1750844049 | Fort Worth Surgical Center Lp | Clinic/Center | 6949 Bryant Irvin Road, Fort Worth, TX 76132 | 2019-04-12 |
| 1063971232 | Symetria Health of Texas, LLC | Clinic/Center | 7299 Hawkins View Drive, Fort Worth, TX 76132 | 2019-03-18 |
| 1275015612 | Falguni Udayan Patel | Nurse Practitioner | 6100 Harris Pkwy Ste 1230, Fort Worth, TX 76132 | 2018-09-02 |
| 1881110161 | Because De Cares | Private Vehicle | 7101 Bryant Irving Road #33104, Fort Worth, TX 76132 | 2017-08-17 |
| 1871045708 | Cns - F.w., LLC | Clinic/Center | 6940 Harris Parkway, Fort Worth, TX 76132 | 2016-10-26 |
| 1790233294 | Prime Diagnostic Imaging of Fort Worth, LLC | Clinic/Center | 6491 Southwest Blvd., Benbrook, TX 76132 | 2016-09-14 |
| Find all providers in zip 76132 | ||||
| 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 |
|---|---|---|---|---|
| 1689271124 | Makayla Shanahan | Behavior Technician | 6211 Southwest Blvd, Benbrook, TX 76132-1080 | 2020-10-07 |
| 1164039335 | Cheyenne Michele Smith | Behavior Technician | 6211 Southwest Blvd, Benbrook, TX 76132-1080 | 2020-09-30 |
| 1215545553 | Zachary Sterling | Behavior Technician | 6211 Southwest Blvd, Benbrook, TX 76132-1080 | 2020-07-22 |
| 1801411343 | Crystal Gonzales | Behavior Technician | 6211 Southwest Blvd, Benbrook, TX 76132-1080 | 2020-06-10 |
| 1215551445 | Allie Robinson | Behavior Technician | 6211 Southwest Blvd, Benbrook, TX 76132-1080 | 2020-06-03 |
| 1750916508 | Kasadie Russell | Behavior Technician | 6211 Southwest Blvd, Benbrook, TX 76132-1080 | 2020-03-11 |
| 1578102372 | Tiana Allena Howard | Behavior Technician | 6211 Southwest Blvd, Benbrook, TX 76132-1080 | 2019-12-27 |
| 1740825561 | Sheryl Wilbanks | Behavior Technician | 6211 Southwest Blvd, Benbrook, TX 76132-1080 | 2019-11-15 |
| 1104469691 | Aislinn Pool | Behavior Technician | 6211 Southwest Blvd, Benbrook, TX 76132-1080 | 2019-10-28 |
| 1235772823 | Bailey Mccracken | Behavior Technician | 6211 Southwest Blvd, Benbrook, TX 76132-1080 | 2019-10-25 |
| Find all providers in BENBROOK | ||||
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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.