Lera Joyce Johnson, BCBA-D, BAMC

Behavior Analyst · Bloomington, IL

Individual Active NPI

NPI number 1215282124

Practice location

2208 Peirce Ave
Bloomington, IL 61701-5813
Phone
(804) 339-2811

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NPI record

NPI
1215282124
Entity type
Individual (Type 1)
Enumeration date
July 17, 2012
Last updated
August 7, 2013
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Analyst Primary 103K00000X 1-06-2813 TN

About Lera Johnson

Lera Joyce Johnson, BCBA-D, BAMC is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Analyst (code 103K00000X). The practice location is 2208 Peirce Ave, Bloomington, IL 61701-5813. The NPI number 1215282124 was assigned on July 17, 2012 and the record was last updated on August 7, 2013.

Lera Johnson lists a license in the registry: #1-06-2813 (TN) for Behavior Analyst. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Lera Joyce Johnson, BCBA-D, BAMC?

The NPI number is 1215282124.

What is the phone number of Lera Johnson?

The phone number listed for the practice location is (804) 339-2811.

Where is Lera Johnson located?

2208 Peirce Ave, Bloomington, IL 61701-5813.

What is the taxonomy code for Lera Johnson?

The primary taxonomy code is 103K00000X – Behavior Analyst.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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