Active NPIIndividual provider

Mrs. Colleen Johnson, BCBA

Behavior Analyst in Beltsville, Maryland

NPI Number1407579261
Practice location
12240 Indian Creek CT Ste 100, Beltsville, MD 20705-1242
Fax
908-940-0338
Last updated
February 20, 2026

Colleen Johnson is a Behavior Analyst based in Beltsville, MD. Colleen Johnson practices in Beltsville, MD and has the professional credentials of BCBA. The NPI Number for Colleen Johnson is 1407579261 and holds a License No. LBA1403 (MD). The current practice location address for Colleen Johnson is 12240 Indian Creek CT Ste 100, Beltsville, MD 20705-1242 and can be reached out via phone at 201-979-1336 and via fax at 908-940-0338.

Provider Profile Details

NPI Number
1407579261
Provider Name
Colleen Johnson
Credential
BCBA
Provider Entity Type
Individual
Gender
Female
Address
12240 Indian Creek CT Ste 100, Beltsville, MD 20705-1242
Phone Number
201-979-1336
Fax Number
908-940-0338
Primary Taxonomy
Behavior Analyst · 103K00000X
Sole Proprietor
No
Provider Enumeration Date
September 26, 2022
Last Update Date
February 20, 2026
Certification Date
February 20, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
12240 Indian Creek CT Ste 100
Beltsville, MD 20705-1242
Zip
20705-1242
Phone Number
201-979-1336
Fax Number
908-940-0338
Beltsville, MD 20705Get directions →

Provider Business Mailing Address Details

Address
175 Belgrove Dr
Kearny, NJ 07032-1507
City
Kearny
State
NJ
Zip
07032-1507
Phone Number
201-979-1376
Fax Number
908-940-0338

License Information

License Number
LBA1403
License State
MD
Taxonomy
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 Mrs. Colleen Johnson, BCBA?

The NPI number of Mrs. Colleen Johnson, BCBA is 1407579261. It was assigned on September 26, 2022 and is currently active in the NPPES registry.

What is the specialty of Mrs. Colleen Johnson, BCBA?

Mrs. Colleen Johnson, BCBA is registered under the primary taxonomy Behavior Analyst (code 103K00000X), licensed in MD under license number LBA1403.

Where does Mrs. Colleen Johnson, BCBA practice?

The practice location is 12240 Indian Creek CT Ste 100, Beltsville, MD 20705-1242. The office can be reached at 201-979-1336 (phone) or 908-940-0338 (fax).

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 1407579261 directly on the NPPES registry website.

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