MEDICARE: BLAIKE JOHNSON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1003454547
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BLAIKE JOHNSON

Provider Business Mailing Address
First Line	:	16800 DALLAS PKWY STE 200
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75248-1961
Country	:	US
Telephone Number	:	469-596-6710
Fax Number	:

Provider Business Practice Location Address
First Line	:	152 BRAND STE 200
Second Line	:
City	:	MURPHY
State	:	TX
Zip	:	75094-3748
Country	:	US
Telephone Number	:	469-596-6710
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/16/2019
Last Update Date	:	12/16/2019

Similar Medicare Providers

1013869981 — GABRIELLE YAPI
Practice Location Address:

152 BRAND STE 200
MURPHY, TX
75094-3748

Practice Phone: 469-596-6712
Practice Fax:

1154273019 — RASHETA GORDON
Practice Location Address:

152 BRAND STE 200
MURPHY, TX
75094-3748

Practice Phone: 469-596-6712
Practice Fax:

1902758543 — JULIA HARRISON
Practice Location Address:

152 BRAND STE 200
MURPHY, TX
75094-3748

Practice Phone: 469-596-6712
Practice Fax:

1093768822 — MS. HEATHER L. BAILEY APRN, NP-C
Practice Location Address:

152 N BRAND ROAD , SUITE 100
MURPHY, TX
75094-3748

Practice Phone: 972-316-4555
Practice Fax: 972-422-1808

1578765970 — MRS. SHERYL L GYR MPAS, PA-C
Practice Location Address:

152 BRAND STE 100
MURPHY, TX
75094-3748

Practice Phone: 972-316-4555
Practice Fax: 972-422-1808

1962048199 — THOMIAH MC WRIGHT
Practice Location Address:

152 BRAND STE 200
MURPHY, TX
75094-3748

Practice Phone: 469-596-6710
Practice Fax:

Directions to “ BLAIKE JOHNSON ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.