Dalia Nashaat Elkassrawy I, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-18-30488 Issued in CA

Practice address

1401 Parkmoor Ave
San Jose, CA 95126-3403

Phone

(408) 885-0805

NPI assigned

Nov 29, 2018

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1543449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543449600000",
    "number": "1154891331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2909 NIEMAN BLVD APT 125",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951484231",
            "telephone_number": "650-766-6310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 PARKMOOR AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951263403",
            "telephone_number": "408-885-0805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELKASSRAWY",
        "first_name": "DALIA NASHAAT",
        "name_prefix": "Mrs.",
        "name_suffix": "I",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-29",
        "last_updated": "2018-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-18-30488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Priscilla Elizalde
• Laura Elizarraras
• Taylor Elizarraras
• Christine Elizondo, OTR
• Yasmeen Elkadi
• Sharon Elkins
• Tyler Ell
• David J Eller, M.D.
• Nutthagrita Vivian Eller, MS, CCC-SLP
• Elizabeth Elliot-Staggs, LMFT

• Behavior Analyst in San Jose, CA
• Providers in San Jose, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2018; 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.