Amy Nelson

Primary specialty

Assistant Behavior AnalystTaxonomy code 106E00000X

Practice address

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

Phone

(888) 531-8385

NPI assigned

May 23, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Goals for Autism, Inc.

  • Behavior Analyst
  • Walnut Creek, CA
  • NPI 1366773012
  NPD
• Hope Grows Behavioral Health

  • Community/Behavioral Health Agency
  • Walnut Creek, CA
  • NPI 1770142556
  NPD (past)

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

{
    "created_epoch": "1527033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663632000000",
    "number": "1528559705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5157",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953525157",
            "telephone_number": "209-572-2589",
            "fax_number": "209-572-1461"
        },
        {
            "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": [
        {
            "address_1": "1115 14th St",
            "address_purpose": "LOCATION",
            "city": "Modesto",
            "state": "CA",
            "postal_code": "953541003",
            "country_code": "US",
            "telephone_number": "209-572-2589",
            "fax_number": "209-572-1461",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NELSON",
        "first_name": "AMY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-23",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": "16-24859",
            "primary": false
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian A Needleman, LMFT
• Maria Guadalupe Negrete Jacobo
• Nina Nehring, PSY.D.
• Terry Lynn Neifing, L.C.S.W.
• Alison Ramos Nelson, MS
• Ashley R Nelson
• Lindsay Nelson
• Mallory Nelson
• Marygail Nelson, MS
• Parker Nelson, RD

• Assistant Behavior Analyst in Walnut Creek, CA
• Providers in Walnut Creek, CA by specialty
• Assistant Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2022; 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.