Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Michael Shane Johnson

Individual provider Behavior Technician · NPI 1568089506

Michael Shane Johnson is a Behavior Technician in Melville, New York. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

225 Broadhollow Rd Ste 402
Melville, NY 11747-4899
Phone: (631) 385-7780
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1568089506
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 25, 2020
Last updated in NPPESJune 25, 2020
Certification dateJune 25, 2020

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