Annette Conde, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-19-38779 Issued in CA

Practice address

1503 S Coast Dr Ste 212
Costa Mesa, CA 92626-1556

Phone

(562) 968-8194

NPI assigned

Mar 8, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Spectrum Solutions Therapy Inc

  • Behavior Analyst
  • Bellflower, CA
  • NPI 1174189997
  NPD (past)

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

{
    "created_epoch": "1583625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583625600000",
    "number": "1497380679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5910 E WALTON ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908151352",
            "telephone_number": "562-968-8194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1503 S COAST DR STE 212",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926261556",
            "telephone_number": "562-968-8194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONDE",
        "first_name": "ANNETTE",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-08",
        "last_updated": "2020-03-08",
        "certification_date": "2020-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-19-38779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Community Physical Therapy and Performance, Inc
• Ynnafranchesca Pango Comodero
• Competent Care Home Health Nursing
• Competent Caregiving
• Complete Spine and Wellness Group, Inc
• Melanie Wheeler Connell, MPT, MTC
• Connor Upper Cervical Chiro of So Cal
• Connor Upper Cervical Chiropractic of Southern California
• Kenneth Joseph Connor, D.C.
• Nicholas Conroy

• Behavior Analyst in Costa Mesa, CA
• Providers in Costa Mesa, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2020; 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.