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Hannah Kate Johnson , MSPED, BCBA

Behavior Analyst β€’ Benton, AR

Active NPI 1649828823 Individual Practitioner Female Practitioner
Practice location in NPPES

17706 Interstate 30 N
Benton, AR 720192907

Call 5013154414 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

17706 Interstate 30 N

Benton, AR 720192907

Telephone 5013154414
Organization at the Same NPPES Address or Phone
Kidsource Therapy Group, Llc Facility NPI 1609235126

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2019

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Benton and Arkansas

5 active clinicians are listed under Behavior Analyst with a practice address in Benton, AR (451 in Arkansas).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-05-28
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

License # reported to NPPES None 1-23-65898

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.

Behavior Technician

NUCC Taxonomy Code: 106S00000X

The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.

Day Training/Habilitation Specialist

NUCC Taxonomy Code: 373H00000X

Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Arkansas State Medical Licensing Board.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
235425706 (AR)

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
Heather Lienhart , MS, OTR, L

Occupational Therapist

NPI 1477781821

Master of Science, Occupational Therapist Registered, L

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

14 Historical Events
πŸ“
Updated Business Mailing Address May 28, 2024

Registered at 6200 STONERIDGE MALL RD STE 300, PLEASANTON, CA 945883705

πŸ‘€
Provider Name / Credentials Updated June 24, 2023

Recorded as HANNAH JOHNSON, MSPED, BCBA

πŸ“
Updated Practice Location June 08, 2023

Registered at 17706 INTERSTATE 30 N, BENTON, AR 720192907 (Tel: 5013154414)

πŸ“
Updated Business Mailing Address June 08, 2023

Registered at 17706 INTERSTATE 30 N, BENTON, AR 720192907 (Tel: 0131544145)

πŸ‘€
Provider Name / Credentials Updated June 08, 2023

Recorded as HANNAH HOWARD, MSPED, BCBA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 08, 2023

Behavior Technician

πŸ“
Updated Practice Location February 28, 2023

Registered at 908 N REYNOLDS RD, BRYANT, AR 720223034 (Tel: 5018479711)

πŸ“
Updated Business Mailing Address February 28, 2023

Registered at P.O. DRAWER 2109, RUSSELLVILLE, AR 728112109 (Tel: 4799672322)

βœ…
NPI Profile Active September 04, 2019

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) September 04, 2019

Registered at 2740 COLLEGE AVE, CONWAY, AR 720346141 (Tel: 5013295459)

πŸ“
Business Mailing Address (Initial Record) September 04, 2019

Registered at 2740 COLLEGE AVE, CONWAY, AR 720346141 (Tel: 5013295459)

πŸ‘€
Provider Name / Credentials (Initial Record) September 04, 2019

Recorded as HANNAH HOWARD, BT

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 04, 2019

Day Training/Habilitation Specialist

🟒
Initial NPI Registration & Enumeration August 30, 2019

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1649828823
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 30, 2019
Last Update: May 28, 2024
Sole Proprietor: No

Mailing Address

6200 Stoneridge Mall Rd Ste 300

Pleasanton, CA 945883705

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.