IndividualActive
Jordyn Johnson, BCBA
NPI 1063907855 · Behavior Analyst · Glen Carbon, IL
Provider details
- NPI number
- 1063907855
- Entity type
- Individual
- Primary specialty
- Behavior AnalystBehavioral Health & Social Service Providers
- Credential
- BCBA
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
6 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4559 Benes Ave
Glen Carbon, IL 62034
Phone: (217) 525-8332
Fax: (217) 789-1420
Street-level locationGet directions
Mailing address
5220 6th Street Frontage Rd E Ste 1700
Springfield, IL 62703-5771
Additional practice locations (5)
- 115 Rottingham Ct Ste aEdwardsville, IL 62025-3677Phone: (866) 522-2467Fax: (217) 789-1420
- 3022 S Park Ave Ste BHerrin, IL 62948-3721Phone: (217) 525-8332Fax: (217) 789-1420
- 2315 N Park AveHerrin, IL 62948-3046Phone: (217) 525-8332Fax: (217) 789-1420
- 145 Springfield CtO Fallon, IL 62269-2495Phone: (217) 525-8332Fax: (217) 789-1420
- 5220 6th Street Frontage Rd E Ste 1700Springfield, IL 62703-5771Phone: (217) 525-8332Fax: (217) 789-1420
Registry dates
- Enumerated
- 2018-06-25
- Last updated
- 2023-01-09
- Certified
- 2023-01-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.