Healthcare Provider Details

I. General information

NPI: 1154267847
Provider Name (Legal Business Name): APRIL JOHNSON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/27/2026
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 NORTHSIDE XING SUITE A
MACON GA
31210-2377
US

IV. Provider business mailing address

500 NORTHSIDE XING SUITE A
MACON GA
31210-2377
US

V. Phone/Fax

Practice location:
  • Phone: 762-435-1685
  • Fax: 772-675-9100
Mailing address:
  • Phone:
  • Fax: 772-675-9100

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: