Individual provider Active NPI

Jaime Daniel Bazaldua, LBA, BCBA, MA

  • Behavior Analyst
  • Austin, TX
National Provider Identifier
1164213104
Registry record updated May 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
8375 Issued in TX
Practice address
8300 N FM 620 Rd Ste 100&400
Austin, TX 78726-4007
Phone
(512) 920-5171
NPI assigned
May 16, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 8375 TX Primary

Addresses

Primary practice location

8300 N FM 620 Rd Ste 100&400
Austin, TX 78726-4007

Mailing address

8300 N FM 620 Rd Ste 100&400
Austin, TX 78726-4007
Phone (512) 920-5171

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
8375TXMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1747353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747353600000",
    "number": "1164213104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8300 N FM 620 RD STE 100&400",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787264007",
            "telephone_number": "512-920-5171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8300 N FM 620 RD STE 100&400",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787264007",
            "telephone_number": "512-920-5171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAZALDUA",
        "first_name": "JAIME",
        "middle_name": "DANIEL",
        "name_prefix": "Mr.",
        "credential": "LBA, BCBA, MA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-05-16",
        "last_updated": "2025-05-16",
        "certification_date": "2025-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "8375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2025; 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.