MEDICARE: BRITTNEY JOHNSON BCBA

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	1-15-18616	CA

General Provider Information

NPI Number	:	1720461254
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRITTNEY JOHNSON BCBA

Provider Business Mailing Address
First Line	:	7141 WOODLEY AVE
Second Line	:
City	:	VAN NUYS
State	:	CA
Zip	:	91406
Country	:	US
Telephone Number	:	818-285-8252
Fax Number	:

Provider Business Practice Location Address
First Line	:	12361 LEWIS ST STE 204
Second Line	:
City	:	GARDEN GROVE
State	:	CA
Zip	:	92840-4677
Country	:	US
Telephone Number	:	818-285-8252
Fax Number	:	818-273-1831

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

Provider Enumeration Date	:	07/01/2015
Last Update Date	:	08/04/2025

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