MEDICARE: DEJA 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	:	1265379796
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEJA JOHNSON

Provider Business Mailing Address
First Line	:	3716 POINT LOMA
Second Line	:
City	:	CONVERSE
State	:	TX
Zip	:	78109-0689
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3716 POINT LOMA
Second Line	:
City	:	CONVERSE
State	:	TX
Zip	:	78109-0689
Country	:	US
Telephone Number	:	210-440-6924
Fax Number	:

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

Provider Enumeration Date	:	05/01/2026
Last Update Date	:	05/01/2026

Similar Medicare Providers

1578491700 — JONASIA HAMMOND RBT
Practice Location Address:

7585 KITTY HAWK RD
CONVERSE, TX
78109-2813

Practice Phone: 726-226-9181
Practice Fax:

1063410850 — CITY OF CONVERSE
Practice Location Address:

107 STATION ST
CONVERSE, TX
78109-1433

Practice Phone: 210-658-8900
Practice Fax: 210-658-2222

1669425161 — DR. GERALD J GALVIN D.C.
Practice Location Address:

8014 KITTY HAWK
CONVERSE, TX
78109-2424

Practice Phone: 210-658-6000
Practice Fax: 210-658-6843

1912948365 — CRISTY ANN MAYHEW LPC
Practice Location Address:

8155 LONE SHADOW TRL
CONVERSE, TX
78109-2436

Practice Phone: 210-731-1300
Practice Fax: 210-738-8025

1285661777 — NORA DOYLE M.D.
Practice Location Address:

8455 CRESTWAY RD
CONVERSE, TX
78109-3527

Practice Phone: 210-450-9000
Practice Fax:

1083647069 — LTC HEALTHCARE OF CONVERSE, INC.
Practice Location Address:

7700 MESQUITE PASS
CONVERSE, TX
78109-2461

Practice Phone: 210-650-0551
Practice Fax: 210-650-4472

Directions to “ DEJA 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.