Individual provider Active NPI

Brittany Vander Schaaf

  • Behavior Technician
  • San Ramon, CA
National Provider Identifier
1619442449
Registry record updated Oct 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
18-8785 Issued in CA
Practice address
4 Crow Canyon CT Ste 150
San Ramon, CA 94583-1679
Phone
(844) 262-8466
Fax
(844) 262-8466
NPI assigned
Oct 8, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X 18-8785 CA Primary

Addresses

Primary practice location

4 Crow Canyon CT Ste 150
San Ramon, CA 94583-1679

Mailing address

3867 Cottonwood Dr
Danville, CA 94506-6007
Phone (442) 628-8466

Other identifiers 1

IdentifierTypeStateIssuer
18-8785-118089OtherCABEHAVIOR TECHNICIAN

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

State licenses

LicenseStateTypeSpecialty
18-8785CAMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Behavior Nation LLC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1538956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538956800000",
    "number": "1619442449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3867 COTTONWOOD DR",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945066007",
            "telephone_number": "442-628-8466",
            "fax_number": "844-262-8466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 CROW CANYON CT STE 150",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945831679",
            "telephone_number": "844-262-8466",
            "fax_number": "844-262-8466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHAAF",
        "first_name": "BRITTANY",
        "middle_name": "VANDER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-08",
        "last_updated": "2018-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": "18-8785",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEHAVIOR TECHNICIAN",
            "identifier": "18-8785-118089",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Ramon, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 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.