Angel Behavioral Path LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

ANGEL BEHAVIORAL PATH LLC

Practice address

1150 King Road #40, 152
San Jose, CA 95122

Phone

(408) 622-9222

Fax

(699) 202-3173

NPI assigned

Jul 11, 2021

Organization subpart

No

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

Authorized official

Name

Elsa Cristina Rodriguez Pasto

Title

Manager

Phone

(305) 299-4249

Specialties & licenses 1

Addresses

Locations

Practitioners 4

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

• Elsa Cristina Rodriguez

  • Behavior Analyst
  • Mountain View, CA
  • NPI 1316396948
  NPD
• Ivana Bustamante

  • Behavior Technician
  • San Jose, CA
  • NPI 1639872310
  NPD (past)
• Hacer Celebi Bozyel

  • Behavior Analyst
  • San Francisco, CA
  • NPI 1639626120
  NPD (past)
• Jennifer E Ferrer, MS

  • Behavior Analyst
  • Sacramento, CA
  • NPI 1063913291
  NPD (past)

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

{
    "created_epoch": "1625961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629331200000",
    "number": "1184296154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 KING ROAD #40, 152",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "95122",
            "telephone_number": "408-622-9222",
            "fax_number": "699-202-3173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 KING ROAD #40, 152",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "95122",
            "telephone_number": "408-622-9222",
            "fax_number": "699-202-3173"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1573 Havana Drive",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951225105",
            "country_code": "US",
            "telephone_number": "408-622-9222",
            "fax_number": "669-202-3173",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ANGEL BEHAVIORAL PATH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-11",
        "last_updated": "2021-08-19",
        "certification_date": "2021-07-23",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ PASTO",
        "authorized_official_first_name": "ELSA",
        "authorized_official_middle_name": "CRISTINA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "305-299-4249"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andy S Yu MD Incorporated
• Trevor Joseph Anesi
• Kenneth Ang
• Samantha Ang, PA-C
• Neeti Angal
• Angel Prestige Residential Care, LLC
• Lizbeth Angel
• Jarren Angeles
• Maryanne Manetta Angeles, LVN
• Monica Juliana Angeles

• 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 Aug 19, 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.