Healthcare Provider Details

I. General information

NPI: 1124949540
Provider Name (Legal Business Name): ABIGAIL JOHNSON BCBA, LBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/22/2026
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9150 BEREFORD DR
BATON ROUGE LA
70809-2403
US

IV. Provider business mailing address

9238 ASOKA AVE
BATON ROUGE LA
70810-2690
US

V. Phone/Fax

Practice location:
  • Phone: 225-960-7689
  • Fax:
Mailing address:
  • Phone: 940-536-7722
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: