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Theresa B Johnson

Behavior Analyst β€’ Bailey, CO

Active NPI 1649609082 Individual Practitioner Female Practitioner
Practice location in NPPES

116 Bluebird Dr
Bailey, CO 804212004

Call 4046433621 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

116 Bluebird Dr

Bailey, CO 804212004

Telephone 4046433621
Organization at the Same NPPES Address or Phone
Integrated Theraplay Facility NPI 1295320596

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

NPI first issued

2013

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 Bailey and Colorado

1 active clinicians are listed under Behavior Analyst with a practice address in Bailey, CO (2,248 in Colorado).

Addresses are self-reported to NPPES and may be out of date.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: 2025-10-05
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

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.

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: Colorado Division of Professions and Occupations.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
9000141643 (CO)

Career & Practice History Timeline

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

12 Historical Events
πŸ“
Updated Practice Location October 05, 2025

Registered at 116 BLUEBIRD DR, BAILEY, CO 804212004 (Tel: 4046433621)

πŸ“
Updated Business Mailing Address October 05, 2025

Registered at 116 BLUEBIRD DR, BAILEY, CO 804212004 (Tel: 4046433621)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 01, 2021

Behavior Analyst

πŸ“
Updated Practice Location December 28, 2020

Registered at 6827 S BROOK FOREST RD, EVERGREEN, CO 804397020 (Tel: 4046433621)

πŸ“
Updated Business Mailing Address December 28, 2020

Registered at 6827 S BROOK FOREST RD, EVERGREEN, CO 804397020 (Tel: 4046433621)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 28, 2020

Behavior Analyst (license number reported to NPPES: CO 1-16-23491)

βœ…
NPI Profile Active November 06, 2013

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) November 06, 2013

Registered at 2756 S HOOKER ST, DENVER, CO 802362508 (Tel: 4046433621)

πŸ“
Business Mailing Address (Initial Record) November 06, 2013

Registered at 2756 S HOOKER ST, DENVER, CO 802362508 (Tel: 4046433621)

πŸ‘€
Provider Name / Credentials (Initial Record) November 06, 2013

Recorded as THERESA JOHNSON

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 06, 2013

Behavior Analyst

🟒
Initial NPI Registration & Enumeration November 06, 2013

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1649609082
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 06, 2013
Last Update: October 05, 2025
Sole Proprietor: Yes

Mailing Address

116 Bluebird Dr

Bailey, CO 804212004

Phone: 4046433621

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.