Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1407579261 Individual Practitioner Female Practitioner

Colleen Johnson , BCBA

Behavior Analyst • Beltsville, MD

Professional Overview & Biography Verified Profile Summary

Colleen Johnson, BCBA is a registered healthcare professional specializing in Behavior Analyst in Beltsville, MD. Practice services are available at 12240 INDIAN CREEK CT STE 100 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

12240 Indian Creek Ct Ste 100

Beltsville, MD 207051242

Telephone 2019791336
Fax 9089400338
Associated Practice Facility / Clinic
🏢 Blue Blocks Llc Facility NPI 1528826500

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Beltsville, MD

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 7.0 Yrs
Regional Practice Density
20 Specialists

Practicing in Beltsville, MD (1558 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

CMS Verified: 2026-02-20
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

State License MD LBA1403

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Kamiyah Phillips

Behavior Technician

NPI 1003736430
Destiny Robinson

Behavior Technician

NPI 1003795774
Kacy Morozoff , BCBA

Behavior Analyst

NPI 1023621497

Board Certified Behavior Analyst

Key'ana Breland

Behavior Technician

NPI 1023959251
Derrick Awuku

Behavior Technician

NPI 1033074794
Shavon Jackson , BCBA

Behavior Analyst

NPI 1033614797

Board Certified Behavior Analyst

Career & Practice History Timeline

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

12 Historical Events
📍
Updated Practice Location February 20, 2026

Registered at 12240 INDIAN CREEK CT STE 100, BELTSVILLE, MD 207051242 (Tel: 2019791336)

📍
Updated Business Mailing Address February 20, 2026

Registered at 175 BELGROVE DR, KEARNY, NJ 070321507 (Tel: 2019791376)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 20, 2026

Behavior Analyst (License #LBA1403 in MD)

📍
Updated Practice Location March 18, 2025

Registered at 7090 SAMUEL MORSE DR STE 100, COLUMBIA, MD 210463444 (Tel: 8559353691)

📍
Updated Business Mailing Address March 18, 2025

Registered at 7090 SAMUEL MORSE DR STE 100, COLUMBIA, MD 210463444 (Tel: 5712629979)

👤
Provider Name / Credentials Updated March 18, 2025

Recorded as COLLEEN JOHNSON, BCBA

NPI Profile Active September 26, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location September 26, 2022

Registered at 1386 LAMBERTON DR, SILVER SPRING, MD 209023414 (Tel: 2403328536)

📍
Updated Business Mailing Address September 26, 2022

Registered at 430 ALLIED PL APT 1416, GAITHERSBURG, MD 208773184 (Tel: 5712629979)

👤
Provider Name / Credentials Updated September 26, 2022

Recorded as COLLEEN FOWKES, BCBA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 26, 2022

Behavior Analyst

🟢
Initial NPI Registration & Enumeration September 26, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1407579261
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 26, 2022
Last Update: February 20, 2026
Sole Proprietor: No

Mailing Address

175 Belgrove Dr

Kearny, NJ 070321507

Phone: 2019791376

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.