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Deactivated NPI 1215452131 Deactivated / Inactive NPI Female Practitioner

Nellie Johnson

Assistant Behavior Analyst • Port St Lucie, FL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Nellie Johnson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 11, 2017
NPI Deactivation Date April 15, 2021
Total Practice Duration ~4 Years of Practice (2017 – 2021)

Professional Overview & Biography Verified Profile Summary

Nellie Johnson was a registered Assistant Behavior Analyst practicing in Port St Lucie, FL. Throughout an active medical career spanning 4 years, Nellie Johnson provided care at the practice location at 1850 SW MACKENZIE ST until profile deactivation on 2021-04-15.

Practice Location & Contact Primary Location

Practice Address

1850 Sw Mackenzie St

Port St Lucie, FL 349531329

Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Assistant Behavior Analyst in Port St Lucie, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 5.0 Yrs
Regional Practice Density
8 Specialists

Practicing in Port St Lucie, FL (2321 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Assistant Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 106E00000X

An assistant behavior analyst is qualified by Behavior Analyst Certification Board certification and/or a state-issued license or credential in behavior analysis to practice under the supervision of an appropriately credentialed professional behavior analyst. An assistant behavior analyst delivers services consistent with the dimensions of applied behavior analysis and supervision requirements defined in state laws or regulations and/or national certification standards. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing behavior-analytic treatment plans, training and supervising others in implementation of components of treatment plans, and direct implementation of treatment plans.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Sandra Darius

Registered Nurse

NPI 1508380692

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated April 15, 2021

Record deactivated on April 15, 2021

NPI Profile Active August 11, 2017

NPI status registered as active in NPPES database

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Updated Practice Location August 11, 2017

Registered at 1850 SW MACKENZIE ST, PORT ST LUCIE, FL 349531329 (Tel: (954) 667-5616)

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Updated Business Mailing Address August 11, 2017

Registered at 1850 SW MACKENZIE ST, PORT ST LUCIE, FL 349531329 (Tel: 9546675616)

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Provider Name / Credentials Updated August 11, 2017

Recorded as NELLIE JOHNSON

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 11, 2017

Assistant Behavior Analyst

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Initial NPI Registration & Enumeration August 11, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1215452131
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 11, 2017
Last Update: August 11, 2017
Deactivation Date: April 15, 2021

Mailing Address

1850 Sw Mackenzie St

Port St Lucie, FL 349531329

Phone: 9546675616

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.