Tasha Jayakoddy

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-21-55686 Issued in CA

Practice address

2262 Harvard St
Palo Alto, CA 94306-1351

Phone

(650) 241-5392

NPI assigned

Aug 30, 2018

Last updated

Dec 28, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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": "1535587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640649600000",
    "number": "1376025072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 BIRCH ST",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940621407",
            "telephone_number": "650-241-5392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2262 HARVARD ST",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943061351",
            "telephone_number": "650-241-5392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAYAKODDY",
        "first_name": "TASHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-30",
        "last_updated": "2021-12-28",
        "certification_date": "2021-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-21-55686",
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robin Kay Jaquez, NP
• Jeffrey Paul Jaramillo, MSPT
• Sama Ammar Jasim
• Sanjay Jasuja
• Rohit Vikram Jaswaney, MD
• Praveen Jayapal, MD
• Hooria Jazaieri, LMFT
• Lila Jazayeri
• Elias Hamid Jbeily, MD
• Jennifer Chyau-Yau Jeng-Lin, D.P.M

• Behavior Analyst in Palo Alto, CA
• Providers in Palo Alto, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 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.