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Mariah Johnson

Assistant Behavior Analyst β€’ Petaluma, CA

Active NPI 1003646324 Individual Practitioner Female Practitioner
Practice location in NPPES

755 Baywood Dr Fl 2
Petaluma, CA 949545510

Call 7078884157 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

755 Baywood Dr Fl 2

Petaluma, CA 949545510

Telephone 7078884157
Organization at the Same NPPES Address or Phone
Dr. Patrick Macleamy & Associates Psychological Assessment Inc. Facility NPI 1144974676

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

NPI first issued

2024

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 Petaluma and California

15 active clinicians are listed under Assistant Behavior Analyst with a practice address in Petaluma, CA (2,658 in California).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Petaluma

0% of these 15 clinicians have the CMS telehealth indicator.

0% of these 15 clinicians are listed by CMS as accepting Medicare assignment.

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: 2025-06-23
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.

Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

Community Health Worker

NUCC Taxonomy Code: 172V00000X

Community health workers (CHW) are lay members of communities who work either for pay or as volunteers in association with the local health care system in both urban and rural environments and usually share ethnicity, language, socioeconomic status and life experiences with the community members they serve. They have been identified by many titles such as community health advisors, lay health advocates, "promotores(as), outreach educators, community health representatives, peer health promoters, and peer health educators. CHWs offer interpretation and translation services, provide culturally appropriate health education and information, assist people in receiving the care they need, give informal counseling and guidance on health behaviors, advocate for individual and community health needs, and provide some direct services such as first aid and blood pressure screening. Some examples of these practitioners are Community Health Aides or Practitioners established under 25 USC 1616 (l) under HHS, Indian Health Service, Public Health Service.

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: Medical Board of California.
Look Up on State Board Site

Career & Practice History Timeline

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

8 Historical Events
πŸ“
Updated Practice Location June 23, 2025

Registered at 755 BAYWOOD DR FL 2, PETALUMA, CA 949545510 (Tel: 7078884157)

πŸ“
Updated Business Mailing Address June 23, 2025

Registered at 7108 S KANNER HWY, STUART, FL 349977462 (Tel: 8558326727)

βœ…
NPI Profile Active August 02, 2024

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) August 02, 2024

Registered at 112 CHILDRENS CIR, SANTA ROSA, CA 954096558 (Tel: 7075656350)

πŸ“
Business Mailing Address (Initial Record) August 02, 2024

Registered at 112 CHILDRENS CIR, SANTA ROSA, CA 954096558 (Tel: 7075656350)

πŸ‘€
Provider Name / Credentials (Initial Record) August 02, 2024

Recorded as MARIAH JOHNSON

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 02, 2024

Counselor

🟒
Initial NPI Registration & Enumeration August 02, 2024

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1003646324
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 02, 2024
Last Update: June 23, 2025
Sole Proprietor: No

Mailing Address

7108 S Kanner Hwy

Stuart, FL 349977462

Phone: 8558326727

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.