Individual provider Active NPI

Elizabeth Jimenez

  • Assistant Behavior Analyst
  • Walnut Creek, CA
National Provider Identifier
1356136337
Registry record updated Apr 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assistant Behavior AnalystTaxonomy code 106E00000X
License
BACB1262534 Issued in CA
Practice address
800 S Broadway Ste 310
Walnut Creek, CA 94596-5218
Phone
(888) 531-8385
NPI assigned
Apr 10, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assistant Behavior Analyst 106E00000X BACB1262534 CA Primary

Addresses

Primary practice location

800 S Broadway Ste 310
Walnut Creek, CA 94596-5218

Mailing address

11 Rockridge Ave
Daly City, CA 94015-3916
Phone (559) 361-7445

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

State licenses

LicenseStateTypeSpecialty
BACB1262534CAMDAssistant Behavior Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Goals for Autism, Inc. CurrentSince Apr 13, 2025 Accepting new patients
Hope Grows Behavioral Health PastSince Apr 13, 2025 Accepting new patients

Locations

800 S Broadway
Ste 310
Walnut Creek, CA 94596
Phone (925) 264-1902

Organizations & group practices 2

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": "1744243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744243200000",
    "number": "1356136337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 ROCKRIDGE AVE",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940153916",
            "telephone_number": "559-361-7445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 S BROADWAY STE 310",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945965218",
            "telephone_number": "888-531-8385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ",
        "first_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-10",
        "last_updated": "2025-04-10",
        "certification_date": "2025-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "CA",
            "license": "BACB1262534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2025; 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.