Active NPI
Brie Elisa Nelson-Thiede
- Assistant Behavior Analyst
- Corona, CA
National Provider Identifier
1740890649
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assistant Behavior Analyst
- Practice address
- 255 E Rincon St Ste 219
Corona, CA 92879-1387 - Phone
- (714) 673-8372
- NPI assigned
- Aug 5, 2020
- 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 |
|---|---|---|---|---|
| Assistant Behavior Analyst | 106E00000X | Primary |
Addresses
Primary practice location
255 E Rincon St Ste 219
Corona, CA 92879-1387
Mailing address
31167 Mountain Lilac Way
Temecula, CA 92592-4177
Phone (760) 415-0240
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | brie.thiede@essc.org |
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": "1596585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596585600000",
"number": "1740890649",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31167 MOUNTAIN LILAC WAY",
"city": "TEMECULA",
"state": "CA",
"postal_code": "925924177",
"telephone_number": "760-415-0240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "255 E RINCON ST STE 219",
"city": "CORONA",
"state": "CA",
"postal_code": "928791387",
"telephone_number": "714-673-8372"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON-THIEDE",
"first_name": "BRIE",
"middle_name": "ELISA",
"name_prefix": "Miss",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-05",
"last_updated": "2020-08-05",
"certification_date": "2020-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "106E00000X",
"taxonomy_group": "",
"desc": "Assistant Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "brie.thiede@essc.org",
"affiliation": "N",
"address_1": "255 E Rincon St Ste 219",
"city": "Corona",
"state": "CA",
"country_code": "US",
"postal_code": "928791387",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Corona, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.