PHYLICIA JOHNSON RBT
NPI 1821691155
Behavior Technician in South Bend, IN

Q: What is Phylicia Johnson's NPI number?

The NPI number for Phylicia Johnson is 1821691155. It was assigned to this individual provider in the NPPES registry on November 19, 2020.

Q: What is Phylicia Johnson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Phylicia Johnson was last updated on November 19, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since November 19, 2020

17390 DUGDALE DR STE 100, SOUTH BEND, IN 46635(574) 400-2169(317) 520-8200 Get Directions Write a Review

NPPES record last updated: November 19, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Phylicia Johnson Rbt NPPES

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

PHYLICIA JOHNSON RBT (NPI 1821691155) is an individual behavior technician in South Bend, Indiana, licensed in Indiana (RBT-18-66303) and active in the NPI registry since November 2020.

NPPES Registry Identity

NPI1821691155

Entity TypeIndividualFemale

Primary Taxonomy106S00000X

Provider Legal NamePHYLICIA JOHNSONCredential: RBT

Location Address17390 DUGDALE DR STE 100South Bend, IN 46635-1512

Mailing Address3500 Depauw Blvd Ste 3070Indianapolis, IN 46268-6135 · (855) 324-0885 · Fax (317) 520-8200

Phone(574) 400-2169

Fax(317) 520-8200

Sole ProprietorNo

Enumeration DateNovember 19, 2020

NPPES CertifiedNovember 19, 2020

✔ NPI 1821691155 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior TechnicianBehavioral Health & Social Service Providers

Taxonomy Code106S00000X

License✔ Licensed in IN · RBT-18-66303

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.

17390 DUGDALE DR STE 100, South Bend, IN 46635

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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.

ALLISON KATE BAYLIS BA BCBA

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