Active NPIIndividual provider

Dr. Amanda R Johnson, MD

Behavior Analyst in Mesa, Arizona

NPI Number1184209298
Practice location
544 S 96TH Pl, Mesa, AZ 85208-2512
Fax
—
Last updated
June 3, 2021

Amanda Reane Johnson is a Behavior Analyst based in Mesa, AZ. Amanda Reane Johnson practices in Mesa, AZ and has the professional credentials of MD. The NPI Number for Amanda Reane Johnson is 1184209298 and holds a License No. 1063923340 (DC). The current practice location address for Amanda Reane Johnson is 544 S 96TH Pl, Mesa, AZ 85208-2512 and can be reached out via phone at 480-696-0338.

Provider Profile Details

NPI Number
1184209298
Provider Name
Amanda Reane Johnson
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
544 S 96TH Pl, Mesa, AZ 85208-2512
Phone Number
480-696-0338
Primary Taxonomy
Behavior Analyst · 103K00000X
Sole Proprietor
No
Provider Enumeration Date
March 10, 2021
Last Update Date
June 3, 2021
Certification Date
June 3, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
544 S 96TH Pl
Mesa, AZ 85208-2512
City
Mesa
State
Arizona
Zip
85208-2512
Phone Number
480-696-0338
Mesa, AZ 85208Get directions →

Provider Business Mailing Address Details

Address
544 S 96TH Pl
Mesa, AZ 85208-2512
City
Mesa
State
AZ
Zip
85208-2512
Phone Number
623-272-5449

License Information

License Number (1)
1063923340
License State (1)
DC
Taxonomy (1)
Behavior Analyst · 103K00000X
License Number (2)
1063923340
License State (2)
AZ
Taxonomy (2)
Behavior Analyst · 103K00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Amanda R Johnson, MD?

The NPI number of Dr. Amanda R Johnson, MD is 1184209298. It was assigned on March 10, 2021 and is currently active in the NPPES registry.

What is the specialty of Dr. Amanda R Johnson, MD?

Dr. Amanda R Johnson, MD is registered under the primary taxonomy Behavior Analyst (code 103K00000X), licensed in DC under license number 1063923340.

Where does Dr. Amanda R Johnson, MD practice?

The practice location is 544 S 96TH Pl, Mesa, AZ 85208-2512. The office can be reached at 480-696-0338 (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 1184209298 directly on the NPPES registry website.

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