Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Justin Elizalde

Individual provider Behavior Technician · NPI 1306360805

Justin Elizalde is a Behavior Technician in Garden Grove, California. Works from 4 locations. Licensed in California.

Licensed in
CA
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

12465 Lewis St Ste 102
Garden Grove, CA 92840-4658
Phone: (949) 833-2237
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 16782 Von Karman Ave Ste 11, Irvine, CA 92606 — (855) 223-7123
  • 16782 Von Karman Ave Ste 11, Irvine, CA 92606 — (855) 223-7123
  • 41521 W 11 Mile Rd, Novi, MI 48375-1803 — (248) 299-0030

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X · Licence 1-19-37279 (CA)
Behavior Technician Taxonomy 106S00000X

Record details

NPI number1306360805
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 27, 2017
Last updated in NPPESJuly 21, 2022
Certification dateDecember 10, 2019

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