Individual provider Active NPI

Angela N Robertson

  • Behavior Analyst
  • Concord, CA
National Provider Identifier
1275039729
Registry record updated Jul 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-25-84526 Issued in CA
Practice address
1800 Sutter St Ste 500
Concord, CA 94520-2587
Phone
(925) 237-1536
Fax
(925) 237-1536
NPI assigned
Apr 3, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X
Behavior Analyst 103K00000X 1-25-84526 CA Primary

Addresses

Primary practice location

1800 Sutter St Ste 500
Concord, CA 94520-2587

Mailing address

1017 Gridley Dr
Pittsburg, CA 94565-1930
Phone (510) 932-9392

Other practice location 1

110 Ryan Industrial Ct Ste 3And4
San Ramon, CA 94583-1592
Phone (510) 315-6600 ext. 29392

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

OrganizationSpecialtyStatusNew patients
Lighthouse ABA Services Behavior Analyst CurrentSince Nov 30, 2025 Accepting new patients

Locations

1800 Sutter St
Ste 500
Concord, CA 94520
Phone (707) 469-3402

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1522713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784073600000",
    "number": "1275039729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1017 GRIDLEY DR",
            "city": "PITTSBURG",
            "state": "CA",
            "postal_code": "945651930",
            "telephone_number": "510-932-9392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 SUTTER ST STE 500",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945202587",
            "telephone_number": "925-237-1536",
            "fax_number": "925-237-1536"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 Ryan Industrial Ct Ste 3And4",
            "address_purpose": "LOCATION",
            "city": "San Ramon",
            "state": "CA",
            "postal_code": "945831592",
            "country_code": "US",
            "telephone_number": "510-315-6600 x29392",
            "fax_number": "510-315-6600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "ANGELA",
        "middle_name": "N",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-03",
        "last_updated": "2026-07-15",
        "certification_date": "2026-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-25-84526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.