Active NPI
Ruby Anne Nelson I
- Behavior Technician
- Concord, CA
National Provider Identifier
1619758745
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 1200 Concord Ave
#100
Concord, CA 94520 - Phone
- (510) 268-8120
- NPI assigned
- Oct 13, 2023
- Sex
- Female
- Sole proprietor
- No
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 | WA | Primary |
Addresses
Primary practice location
1200 Concord Ave
#100
Concord, CA 94520
Mailing address
1200 Concord Ave
#100
Concord, CA 94520
Other names 1
- Beatrice/Bea Orion Nelson
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1697155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697155200000",
"number": "1619758745",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 CONCORD AVE",
"address_2": "#100",
"city": "CONCORD",
"state": "CA",
"postal_code": "94520"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 CONCORD AVE",
"address_2": "#100",
"city": "CONCORD",
"state": "CA",
"postal_code": "94520",
"telephone_number": "510-268-8120"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "RUBY",
"middle_name": "ANNE",
"name_suffix": "I",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-10-13",
"last_updated": "2023-10-13",
"certification_date": "2023-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "WA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BEATRICE/BEA",
"last_name": "NELSON",
"middle_name": "ORION",
"code": "5",
"type": "Other Name"
}
]
}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 Oct 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.