Individual provider · Type 1 NPI

Mia Johnson

Behavior Technician · Port St. Lucie, FL

NPI number 1336912443 Active

Practice location

1801 SE Hillmoor Drive, Suite B101-103
Port St. Lucie, FL 34952-7553

Call (772) 463-0444 Map

Mailing address

83 Bounty Ln
Melbourne, FL 32903-2090

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician Primary 106S00000XRBT-23-306276 (FL)

Behavior Technician: 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…

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About NPI 1336912443

Mia Johnson's National Provider Identifier is 1336912443, issued on Oct 31, 2023. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in Port St. Lucie, FL. The record was last updated on Jan 5, 2026.