Active NPI
Elizabeth Marcum
- Behavior Technician
- Laguna Hills, CA
National Provider Identifier
1144048299
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 23041 Avenida de la Carlota Ste 175
Laguna Hills, CA 92653-1588 - Phone
- (949) 954-4422
- NPI assigned
- Sep 27, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
23041 Avenida de la Carlota Ste 175
Laguna Hills, CA 92653-1588
Mailing address
12156 Adrian St Apt 9-204
Garden Grove, CA 92840-4378
Phone (937) 244-8338
Other names 1
- Ellie Marcum
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Behavioral Concepts LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Behavior Analyst
- Laguna Hills, CA
- NPI 1669891644
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1727395200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727395200000",
"number": "1144048299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12156 ADRIAN ST APT 9-204",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928404378",
"telephone_number": "937-244-8338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23041 AVENIDA DE LA CARLOTA STE 175",
"city": "LAGUNA HILLS",
"state": "CA",
"postal_code": "926531588",
"telephone_number": "949-954-4422"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARCUM",
"first_name": "ELIZABETH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-09-27",
"last_updated": "2024-09-27",
"certification_date": "2024-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ELLIE",
"last_name": "MARCUM",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Laguna Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.