Jordan Scott Barajas

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

1500 E Hamilton Ave Ste 105
Campbell, CA 95008-0834

Phone

(408) 772-3775

NPI assigned

Feb 22, 2023

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Advanced ABA Inc

  • Early Intervention Provider Agency
  • Campbell, CA
  • NPI 1174863518
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1677024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677024000000",
    "number": "1104524727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 E HAMILTON AVE STE 105",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950080834",
            "telephone_number": "408-772-3775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 E HAMILTON AVE STE 105",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950080834",
            "telephone_number": "408-772-3775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARAJAS",
        "first_name": "JORDAN",
        "middle_name": "SCOTT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-02-22",
        "last_updated": "2023-02-22",
        "certification_date": "2023-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Setareh Seyedeh Banisadr
• Sneha Banka, DNP
• Thomas Banks
• Prince D Banzouzi Malgha
• Calvin Bao
• Jacqueline Barba Dsouza
• Michele Eileen Barbic, LMFT
• Myranda A Barker
• Justin Barnett
• Miesha Barney

• All providers in Campbell, CA
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.