Mr. Matthew Christian Johnson
Psychologist Behavior Analyst
3010 Mitchellville Road Suite #104
Bowie
, Maryland 20716
Mr. Matthew Christian Johnson
Psychologist Behavior Analyst
3010 Mitchellville Road Suite #104
Bowie
, Maryland 20716
(301) 390-2742
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About
Features
Specialties
- Behavior Analyst
- Psychologist
Languages spoken
- English
Location
First Address
- Mr. Matthew Christian Johnson
- 3010 Mitchellville Road Suite #104
- Bowie, MD
- Zip : 20716
- Phone : (301) 390-2742
Second Address
- Mr. Matthew Christian Johnson
- 3010 Mitchellville Road Suite #104
- Bowie, MD
- Zip : 20716
- Phone : (301) 390-2742
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103K00000X | Behavior Analyst | PA | |
| N | 102L00000X | Psychologist | 05910 | MD |
| N | 103T00000X | Psychologist | 05910 | MD |
National Provider Identifier
| NPI | 1013141811 |
|---|---|
| Provider Name | Mr. Matthew Christian Johnson |
| First Address | Bowie, MD 20716 |
| Second Address | Bowie, MD 20716 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/05/2009 |
| Last Update Date | 26/05/2017 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.