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Elizabeth Ann Connis , BCBA

Behavior Analyst β€’ Concord, CA

Active NPI 1831632074 Individual Practitioner Female Practitioner
Practice location in NPPES

1200 Concord Ave Ste 100
Concord, CA 945204969

Call 5102688120 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1200 Concord Ave Ste 100

Concord, CA 945204969

Telephone 5102688120
Organization at the Same NPPES Address or Phone
Center For Social Dynamics Facility NPI 1447981550

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2016

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Concord and California

331 active clinicians are listed under Behavior Analyst with a practice address in Concord, CA (20,363 in California).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Concord

0% of these 331 clinicians have the CMS telehealth indicator.

0% of these 331 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2022-10-25
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

License # reported to NPPES CA 1-17-28720

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Assistant Behavior Analyst

NUCC Taxonomy Code: 106E00000X

License # reported to NPPES None 0-17-7974

An assistant behavior analyst is qualified by Behavior Analyst Certification Board certification and/or a state-issued license or credential in behavior analysis to practice under the supervision of an appropriately credentialed professional behavior analyst. An assistant behavior analyst delivers services consistent with the dimensions of applied behavior analysis and supervision requirements defined in state laws or regulations and/or national certification standards. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing behavior-analytic treatment plans, training and supervising others in implementation of components of treatment plans, and direct implementation of treatment plans.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Medical Board of California.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
Andrea Kjelstrom , MS, OTR, L

Occupational Therapist - Pediatrics

NPI 1346935889

Master of Science, Occupational Therapist Registered, L

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

16 Historical Events
πŸ“
Updated Practice Location October 25, 2022

Registered at 1200 CONCORD AVE STE 100, CONCORD, CA 945204969 (Tel: 5102688120)

πŸ“
Updated Business Mailing Address October 25, 2022

Registered at 1200 CONCORD AVE STE 100, CONCORD, CA 945204969 (Tel: 5102688120)

πŸ“
Updated Practice Location June 25, 2019

Registered at 7750 COLLEGE TOWN DR STE 204, SACRAMENTO, CA 958262345 (Tel: 8884283223)

πŸ“
Updated Business Mailing Address June 25, 2019

Registered at 4221 WILSHIRE BLVD STE 300A, LOS ANGELES, CA 900103537 (Tel: 8884283223)

πŸ‘€
Provider Name / Credentials Updated June 25, 2019

Recorded as ELIZABETH CONNIS, BCBA

βœ…
NPI Profile Active August 01, 2017

NPI status registered as active in NPPES database

πŸ“
Updated Practice Location August 01, 2017

Registered at 7238 MOUNTAINSIDE DR, CITRUS HEIGHTS, CA 956210250 (Tel: (215) 370-5526)

πŸ“
Updated Business Mailing Address August 01, 2017

Registered at 7238 MOUNTAINSIDE DR, CITRUS HEIGHTS, CA 956210250 (Tel: (215) 370-5526)

πŸ‘€
Provider Name / Credentials Updated August 01, 2017

Recorded as ELIZABETH CONNIS, BCABA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 01, 2017

Assistant Behavior Analyst (license number reported to NPPES: None 0-17-7974)

βœ…
NPI Profile Active November 21, 2016

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) November 21, 2016

Registered at 236 GEORGIA ST, SUITE 102, VALLEJO, CA 945905991 (Tel: 2153705526)

πŸ“
Business Mailing Address (Initial Record) November 21, 2016

Registered at 236 GEORGIA ST, SUITE 102, VALLEJO, CA 945905991 (Tel: 2153705526)

πŸ‘€
Provider Name / Credentials (Initial Record) November 21, 2016

Recorded as ELIZABETH CONNIS

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 21, 2016

Behavior Technician

🟒
Initial NPI Registration & Enumeration November 21, 2016

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1831632074
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 21, 2016
Last Update: October 25, 2022
Sole Proprietor: No

Mailing Address

1200 Concord Ave Ste 100

Concord, CA 945204969

Phone: 5102688120

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.