Yassamin Faraj, M.ED., BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-15-20924 Issued in CA

Practice address

3851 Charter Park Dr Ste V
San Jose, CA 95136-1385

Phone

(408) 300-1242

Fax

(800) 707-5502

NPI assigned

Feb 27, 2018

Sex

Female

Sole proprietor

Yes

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

Credentials

Master of Education

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

{
    "created_epoch": "1519689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519689600000",
    "number": "1609377316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5669 SNELL AVE # 130",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951233328",
            "telephone_number": "408-300-1242",
            "fax_number": "800-707-5502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3851 CHARTER PARK DR STE V",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951361385",
            "telephone_number": "408-300-1242",
            "fax_number": "800-707-5502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARAJ",
        "first_name": "YASSAMIN",
        "name_prefix": "Ms.",
        "credential": "M.ED., BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-27",
        "last_updated": "2018-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-15-20924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Senya Fania
• Mariam Faragallah
• Ellie Farahabadi, MD
• Narges Farahi, M.D.
• Yashar Farahvash
• Melina Grace Faraone
• Lauren Farash, M.D., M.P.H.
• Shanza Faraz
• Jessica Elizabeth Farber, PSY.D.
• Fardis Shahrivar, M.D. Inc.

• 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 Feb 27, 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.