Individual provider Active NPI

Bonnie Yazdani

  • Behavior Technician
  • Santa Ana, CA
National Provider Identifier
1619730991
Registry record updated Feb 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
1528 Brookhollow Dr Ste 300
Santa Ana, CA 92705-5410
Phone
(714) 951-3772
NPI assigned
Jan 31, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2025

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 Primary

Addresses

Primary practice location

1528 Brookhollow Dr Ste 300
Santa Ana, CA 92705-5410

Mailing address

1528 Brookhollow Dr Ste 300
Santa Ana, CA 92705-5410
Phone (714) 951-3772

Other practice location 1

100 S Anaheim Blvd Ste 340
Anaheim, CA 92805-3877
Phone (888) 428-3223

Other names 1

  • Banafsheh Haddadan Former name

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

NPI Registry JSON

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

{
    "created_epoch": "1706659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739404800000",
    "number": "1619730991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1528 BROOKHOLLOW DR STE 300",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927055410",
            "telephone_number": "714-951-3772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1528 BROOKHOLLOW DR STE 300",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927055410",
            "telephone_number": "714-951-3772"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 S Anaheim Blvd Ste 340",
            "address_purpose": "LOCATION",
            "city": "Anaheim",
            "state": "CA",
            "postal_code": "928053877",
            "country_code": "US",
            "telephone_number": "888-428-3223",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YAZDANI",
        "first_name": "BONNIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-31",
        "last_updated": "2025-02-13",
        "certification_date": "2025-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BANAFSHEH",
            "last_name": "HADDADAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.