Provider Demographics
NPI:1053824383
Name:JOHNSON, ASIA (BCBA, LBA)
Entity type:Individual
Prefix:
First Name:ASIA
Middle Name:
Last Name:JOHNSON
Suffix:
Gender:F
Credentials:BCBA, LBA
Other - Prefix:
Other - First Name:ASIA
Other - Middle Name:
Other - Last Name:CRAFT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:HARRIS
Mailing Address - Street 1:2017 SNOWBIRD DR
Mailing Address - Street 2:
Mailing Address - City:HARVEY
Mailing Address - State:LA
Mailing Address - Zip Code:70058-5430
Mailing Address - Country:US
Mailing Address - Phone:504-331-7813
Mailing Address - Fax:
Practice Address - Street 1:2017 SNOWBIRD DR
Practice Address - Street 2:
Practice Address - City:HARVEY
Practice Address - State:LA
Practice Address - Zip Code:70058-5430
Practice Address - Country:US
Practice Address - Phone:504-331-7813
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-11-08
Last Update Date:2024-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
106S00000X, 171M00000X
LA1-23-63492103K00000X
LAC-073106E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician
No171M00000XOther Service ProvidersCase Manager/Care Coordinator
No106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst