Organization Active NPI

Badoni Behavioral Services LLC

  • Behavior Analyst
  • San Jose, CA
National Provider Identifier
1114535382
Registry record updated Sep 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
BADONI BEHAVIORAL SERVICES LLC
Practice address
3031 Tisch Way
San Jose, CA 95128-2541
Phone
(408) 416-7539
Fax
(408) 413-4448
NPI assigned
Jul 14, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2021

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

Authorized official

Name
Parvati Badoni, BCBANPI 1982246732
Title
Owner
Phone
(408) 416-7539

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

3031 Tisch Way
San Jose, CA 95128-2541

Mailing address

6699 Bogiala Way
Gilroy, CA 95020-7108
Phone (408) 416-7539

Other names 1

  • Badoni Behavioral services LLC Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1594684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632268800000",
    "number": "1114535382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6699 BOGIALA WAY",
            "city": "GILROY",
            "state": "CA",
            "postal_code": "950207108",
            "telephone_number": "408-416-7539",
            "fax_number": "408-413-4448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3031 TISCH WAY",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951282541",
            "telephone_number": "408-416-7539",
            "fax_number": "408-413-4448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BADONI BEHAVIORAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-14",
        "last_updated": "2021-09-22",
        "certification_date": "2021-09-22",
        "status": "A",
        "authorized_official_last_name": "BADONI",
        "authorized_official_first_name": "PARVATI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "408-416-7539",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Badoni Behavioral services LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Badoni Behavioral services LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2021; 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.