Active NPI
Jonelle Cristine Conde
- Behavior Analyst
- Pittsburg, CA
National Provider Identifier
1902392798
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- B6260244
- Practice address
- 4355 Glen Canyon Cir
Pittsburg, CA 94565-6448 - Phone
- (510) 612-5120
- NPI assigned
- Jul 5, 2018
- 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 Analyst | 103K00000X | B6260244 | CA | Primary |
Addresses
Primary practice location
4355 Glen Canyon Cir
Pittsburg, CA 94565-6448
Mailing address
4355 Glen Canyon Cir
Pittsburg, CA 94565-6448
Phone (510) 541-2254
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
| License | State | Type | Specialty |
|---|---|---|---|
| B6260244 | CA | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1530748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1530748800000",
"number": "1902392798",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4355 GLEN CANYON CIR",
"city": "PITTSBURG",
"state": "CA",
"postal_code": "945656448",
"telephone_number": "510-541-2254"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4355 GLEN CANYON CIR",
"city": "PITTSBURG",
"state": "CA",
"postal_code": "945656448",
"telephone_number": "510-612-5120"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONDE",
"first_name": "JONELLE",
"middle_name": "CRISTINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-05",
"last_updated": "2018-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CA",
"license": "B6260244",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pittsburg, CA
- Community Options for Families and Youth
- Community Options for Families and Youth, Inc
- Community Options for Families and Youth, Inc
- Community Options for Families and Youth, Inc
- Community Options for Families and Youth, Inc
- Rashell Ann Conner, SUDRC
- Contra Costa Arc-Lynn Center
- Contra Costa County
- Contra Costa County
- Contra Costa County
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.