DOMINIC IDRIS JOHNSON
NPI 1104393149
Behavior Analyst in Vallejo, CA

Q: What is Dominic Johnson's NPI number?

The NPI number for Dominic Johnson is 1104393149. It was assigned to this individual provider in the NPPES registry on October 29, 2018.

Q: What is Dominic Johnson's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

Q: When was this NPI record last updated?

The NPPES record for Dominic Johnson was last updated on October 29, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.

Active since October 29, 2018

150 GLEN COVE MARINA RD E STE 102, VALLEJO, CA 94591(707) 553-1784 Get Directions Write a Review

NPPES record last updated: October 29, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dominic Idris Johnson NPPES

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

DOMINIC IDRIS JOHNSON (NPI 1104393149) is an individual behavior analyst provider in Vallejo, California and active in the NPI registry since October 2018.

NPPES Registry Identity

NPI1104393149

Entity TypeIndividualMale

Primary Taxonomy103K00000X

Provider Legal NameDOMINIC IDRIS JOHNSON

Location Address150 GLEN COVE MARINA RD E STE 102Vallejo, CA 94591-7237

Mailing Address2157 Hillridge DrFairfield, CA 94534-7950 · (707) 344-1611

Phone(707) 553-1784

Sole ProprietorNo

Enumeration DateOctober 29, 2018

✔ NPI 1104393149 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers

Taxonomy Code103K00000X

Definition

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.

150 GLEN COVE MARINA RD E STE 102, Vallejo, CA 94591

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Other Providers at the Same Location NPPES 20

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

ADIL SAYED HUSSAIN

Behavior Technician