CANDACE JOHNSON
NPI 1003613118
Behavior Technician in Fort Wayne, IN

Active since February 26, 2025
4410 EXECUTIVE BLVD, FORT WAYNE, IN 46808(888) 515-1793 Get Directions Write a Review

NPPES record last updated: February 26, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Candace Johnson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CANDACE JOHNSON (NPI 1003613118) is an individual behavior technician in Fort Wayne, Indiana and active in the NPI registry since February 2025.

NPPES Registry Identity

NPI1003613118
Entity TypeIndividualFemale
Primary Taxonomy106S00000X
Provider Legal NameCANDACE JOHNSON
Location Address4410 EXECUTIVE BLVDFort Wayne, IN 46808-1135
Mailing Address8413 Spyglass DrIndianapolis, IN 46260-1937
Sole ProprietorNo
Enumeration DateFebruary 26, 2025
NPPES CertifiedFebruary 26, 2025
NPI 1003613118 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyBehavior TechnicianBehavioral Health & Social Service Providers
Taxonomy Code106S00000X
Definition
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.
4410 EXECUTIVE BLVD, Fort Wayne, IN 46808

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
4410 EXECUTIVE BLVD
FORT WAYNE, IN 46808
Behavior Technician
4410 EXECUTIVE BLVD
FORT WAYNE, IN 46808
Behavior Technician
4410 EXECUTIVE BLVD
FORT WAYNE, IN 46808
Behavior Technician
4410 EXECUTIVE BLVD
FORT WAYNE, IN 46808
Behavior Technician
4410 EXECUTIVE BLVD
FORT WAYNE, IN 46808
Behavior Technician
4410 EXECUTIVE BLVD
FORT WAYNE, IN 46808

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Candace Johnson's NPI number?

The NPI number for Candace Johnson is 1003613118. It was assigned to this individual provider in the NPPES registry on February 26, 2025.

Where is Candace Johnson located?

Candace Johnson practices at 4410 Executive Blvd, Fort Wayne, IN 46808. The listed phone number is (888) 515-1793.

What is Candace Johnson's specialty?

The primary specialty registered for this NPI is Behavior Technician with taxonomy code 106S00000X.

When was this NPI record last updated?

The NPPES record for Candace Johnson was last updated on February 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.