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JUSTIN ELIZALDE
NPI 1306360805
Behavior Analyst in Garden Grove, CA

Active since July 27, 2017
12465 LEWIS ST STE 102, GARDEN GROVE, CA 92840(949) 833-2237 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Dec 10, 2019, Oct 28, 2019 and 1 more (4 updates tracked since 2017).

About Justin Elizalde NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JUSTIN ELIZALDE (NPI 1306360805) is an individual behavior analyst provider in Garden Grove, California, licensed in California (1-19-37279) and active in the NPI registry since July 2017. He maintains 2 additional practice locations.

NPPES Registry Identity

NPI1306360805
Entity TypeIndividualMale
Primary Taxonomy103K00000X
Provider Legal NameJUSTIN ELIZALDE
Location Address12465 LEWIS ST STE 102Garden Grove, CA 92840-4658
Mailing Address16782 Von Karman Ave Ste 11Irvine, CA 92606-2417 · (855) 223-7123
Phone(949) 833-2237
Sole ProprietorNo
Enumeration DateJuly 27, 2017
Last NPPES UpdateJuly 21, 20224 updates tracked since enumeration
NPPES CertifiedDecember 10, 2019
✔ NPI 1306360805 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers
Taxonomy Code103K00000X
License✔ Licensed in CA · 1-19-37279
Definition
A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.
Also ListedBehavior TechnicianTaxonomy 106S00000X
12465 LEWIS ST STE 102, Garden Grove, CA 92840
Open in Google Maps ↗

Secondary Practice Locations 2

Location 141521 W 11 Mile RdNovi, MI 48375-1803 · Phone (248) 299-0030 · Fax (800) 651-4201
Location 216782 Von Karman Ave Ste 11Irvine, CA 92606 · Phone (855) 223-7123

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RYAN ELIZABETH-ROSE FISH
Behavior Technician
12465 LEWIS ST STE 102
GARDEN GROVE, CA 92840
Orange County (855) 223-7123
ANGELENA ORNELAS
Behavior Technician
12465 LEWIS ST STE 102
GARDEN GROVE, CA 92840
Orange County (855) 223-7123
MESBAH ISLAM
Behavior Technician
12465 LEWIS ST STE 102
GARDEN GROVE, CA 92840
Orange County (855) 223-7123
GIA HAN DINH
Behavior Technician
12465 LEWIS ST STE 102
GARDEN GROVE, CA 92840
Orange County (855) 223-7123
VALERY JANET FELIX
Behavior Technician
12465 LEWIS ST STE 102
GARDEN GROVE, CA 92840
Orange County (855) 223-7123
NANCY LYNN DALEBOUT
Behavior Technician
12465 LEWIS ST STE 102
GARDEN GROVE, CA 92840
Orange County (855) 223-7123
KASSANDRA PAMELA CORRAL
Behavior Technician
12465 LEWIS ST STE 102
GARDEN GROVE, CA 92840
Orange County (855) 223-7123
SARAH ROSSETTER
Behavior Technician
12465 LEWIS ST STE 102
GARDEN GROVE, CA 92840
Orange County (855) 223-7123

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Justin Elizalde's NPI number?

The NPI number for Justin Elizalde is 1306360805. It was assigned to this individual provider in the NPPES registry on July 27, 2017.

Where is Justin Elizalde located?

Justin Elizalde practices at 12465 Lewis St Ste 102, Garden Grove, CA 92840. The listed phone number is (949) 833-2237.

What is Justin Elizalde's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

What insurance does Justin Elizalde accept?

Health plans from Providence Health Plan list Justin Elizalde as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Justin Elizalde was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.