MEDICARE: RENEE 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	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1245183995
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RENEE JOHNSON

Provider Business Mailing Address
First Line	:	985450 NEBRASKA MEDICAL CTR
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68198-5450
Country	:	US
Telephone Number	:	402-559-9391
Fax Number	:	402-559-5753

Provider Business Practice Location Address
First Line	:	5050 AMES AVE
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68104-2323
Country	:	US
Telephone Number	:	402-836-9781
Fax Number	:	402-836-9565

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

Provider Enumeration Date	:	02/20/2026
Last Update Date	:	02/20/2026

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Directions to “ RENEE JOHNSON ” Practice Location

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