JORDAN KAI FEDERICO


Address: 3610 Snell Ave, San Jose, CA 95136-1305
Phone: 4086185265

JORDAN KAI FEDERICO (NPI# 1306485149) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1306485149
Entity Type Individual
Full Name JORDAN KAI FEDERICO
Practice Address 3610 Snell Ave
San Jose
CA 95136-1305
Mailing Address 21600 Oxnard St Ste 1800
Woodland Hills
CA 91367-7807
Practice Telephone 4086185265
Mailing Telephone 8183452345
Enumeration Date 2019-12-26
Last Update Date 2019-12-26
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 106S00000X Behavior Technician Behavioral Health & Social Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
21600 Oxnard St Ste 1800, Woodland Hills, CA 913677807 8183452345

Office Location

Street Address 3610 SNELL AVE
City SAN JOSE
State CA
Zip Code 95136-1305

Providers in the same location

NPI Name Taxonomy Address Enumeration
1740437029 Center for Autism and Related Disorders LLC Community/Behavioral Health 3610 Snell Ave, San Jose, CA 95136 2008-08-19
1598364010 Cristina Desouza Vigano Behavior Technician 3610 Snell Ave, San Jose, CA 95136-1305 2020-10-26
1306478656 May Jaber Behavior Technician 3610 Snell Ave, San Jose, CA 95136-1305 2020-02-05
1043842412 Adriana De La Rosa Behavioral Analyst 3610 Snell Ave, San Jose, CA 95136-1305 2020-02-04
1124658968 Cory Alexander Young Behavioral Analyst 3610 Snell Ave, San Jose, CA 95136-1305 2020-01-21
1861032468 Joanna Seney Figueroa Behavior Technician 3610 Snell Ave, San Jose, CA 95136-1305 2020-01-10
1558900910 Vanessa Abarca Behavioral Analyst 3610 Snell Ave, San Jose, CA 95136-1305 2020-01-03
1326687971 Stacy A Alejo Behavior Technician 3610 Snell Ave, San Jose, CA 95136-1305 2019-12-30
1346888187 Priya Babbar Behavior Technician 3610 Snell Ave, San Jose, CA 95136-1305 2019-12-11
1033756390 Heba Awadalla Behavior Technician 3610 Snell Ave, San Jose, CA 95136-1305 2019-12-05
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1245709757 Rahwa Ferzghi Behavior Technician 5300 Terner Way Apt 3102, San Jose, CA 95136 2018-11-14
1285110254 Brittany Lauren Perez Behavioral Analyst 4501 Snell Ave Apt 208, San Jose, CA 95136 2018-07-12
1316466139 Melinda Fike Vertin Nurse Practitioner 970 Glenridge Dr., San Jose, CA 95136 2017-09-12
1841712221 Cynthia Castillo Spec/Tech, Cardiovascular 4742 Canyon River Court, San Josse, CA 95136 2017-07-07
1841609732 Elizabeth Mary Myers Specialist/Technologist 385 Vista Roma Way #302, San Jose, CA 95136 2014-08-05
1649696717 David W Chan Dentist 1095 Branham Ln., Suite #101, San Jose, CA 95136 2014-03-12
1811323686 Krystle Wright Speech-Language Pathologist 368 Maeve Court, San Jose, CA 95136 2013-09-24
1043598196 Anh-thu Huynh Optometrist 4807 Rue Loiret, San Jose, CA 95136 2011-07-22
1366655201 Zaidoon R. Owais Dentist 511 W. Capitol Expwy, San Jose, CA 95136 2007-05-08
1568674257 Kelly Thanh Dds, Inc Dentist 414b W. Capitol Expwy, San Jose, CA 95136 2007-05-04
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Taxonomy Information

Taxonomy Code 106S00000X
Grouping Behavioral Health & Social Service Providers
Classification Behavior Technician

Taxonomy Definition

The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.
Notes: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2016: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1407457583 Jennifer Carrillo Behavior Technician 1682 Virginia Ave Apt 1, San Jose, CA 95116-2944 2020-11-04
1720689268 Elizabeth Bigelow Behavior Technician 5751 Via Monte Dr Apt B, San Jose, CA 95118-3271 2020-11-02
1720685357 Natia Chitadze Behavior Technician 5875 Charlotte Dr Apt 307, San Jose, CA 95123-6871 2020-10-06
1235746306 Patricia Yazmin Landa Garibay Behavior Technician 820 N Jackson Ave, San Jose, CA 95133-1223 2020-09-23
1134739022 Esperanza Garnica Behavior Technician 346 Menker Ave, San Jose, CA 95128-2401 2020-08-05
1629688593 Jael Nunez Saavedra Behavior Technician 1497 Saratoga Ave, San Jose, CA 95129-4938 2020-08-05
1194334839 Jason Sanders Jr. Behavior Technician 1590 De Rose Way, San Jose, CA 95126-4141 2020-07-29
1134738875 Ugochukwu Kas-osoka Behavior Technician 164 Park Sharon Dr, San Jose, CA 95136-2535 2020-07-29
1104443407 Khady Fall Behavior Technician 408 494 1561, 614 Tully Road, San Jose, CA 95112 2020-07-02
1114544376 Katrina Chua Behavior Technician 369 Longhill Ct, San Jose, CA 95138-1392 2020-07-02
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Competitor

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City SAN JOSE
Zip Code 95136

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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