Mrs. Tia K Johnson, BCBA 1-19-38888
Behavior Analyst in Milldale, Connecticut
1013419977- Practice location
- 1753 Meriden Wtby Tpke, Milldale, CT 06467-6508
- Phone
- 203-558-0367
- Fax
- —
- Last updated
- May 8, 2023
Tia Kaysaundra Johnson is a Behavior Analyst based in Milldale, CT. Tia Kaysaundra Johnson practices in Milldale, CT and has the professional credentials of BCBA 1-19-38888. The NPI Number for Tia Kaysaundra Johnson is 1013419977. The current practice location address for Tia Kaysaundra Johnson is 1753 Meriden Wtby Tpke, Milldale, CT 06467-6508 and can be reached out via phone at 203-558-0367.
Provider Profile Details
- NPI Number
- 1013419977
- Provider Name
- Tia Kaysaundra Johnson
- Credential
- BCBA 1-19-38888
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1753 Meriden Wtby Tpke, Milldale, CT 06467-6508
- Phone Number
- 203-558-0367
- Primary Taxonomy
- Behavior Analyst · 103K00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- March 6, 2018
- Last Update Date
- May 8, 2023
- Certification Date
- May 8, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1753 Meriden Wtby Tpke
Milldale, CT 06467-6508 - City
- Milldale
- State
- Connecticut
- Zip
- 06467-6508
- Phone Number
- 203-558-0367
Provider Business Mailing Address Details
- Address
- 425 Brimfield RD
Wethersfield, CT 06109-3205 - City
- Wethersfield
- State
- CT
- Zip
- 06109-3205
- Phone Number
- 951-813-7405
License Information
- Taxonomy
- Behavior Analyst · 103K00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Behavior Analysts near Milldale, CT
View all Behavior Analysts in Milldale →Frequently Asked Questions
What is the NPI number of Mrs. Tia K Johnson, BCBA 1-19-38888?
The NPI number of Mrs. Tia K Johnson, BCBA 1-19-38888 is 1013419977. It was assigned on March 6, 2018 and is currently active in the NPPES registry.
What is the specialty of Mrs. Tia K Johnson, BCBA 1-19-38888?
Mrs. Tia K Johnson, BCBA 1-19-38888 is registered under the primary taxonomy Behavior Analyst (code 103K00000X).
Where does Mrs. Tia K Johnson, BCBA 1-19-38888 practice?
The practice location is 1753 Meriden Wtby Tpke, Milldale, CT 06467-6508. The office can be reached at 203-558-0367 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1013419977 directly on the NPPES registry website.