Waki Gojo

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

1900 S Norfolk St Ste 205
San Mateo, CA 94403-1184

Phone

(650) 242-0179

NPI assigned

Jun 6, 2023

Sex

Female

Sole proprietor

No

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

Practice roles

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.

• Pacific Autism Learning Services, Inc

  • Community/Behavioral Health Agency
  • San Mateo, CA
  • NPI 1336435734
  NPD (past)

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

{
    "created_epoch": "1686009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686009600000",
    "number": "1669166328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 S NORFOLK ST STE 205",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944031184",
            "telephone_number": "650-242-0179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 S NORFOLK ST STE 205",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944031184",
            "telephone_number": "650-242-0179"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11344 Coloma Rd Ste 570",
            "address_purpose": "LOCATION",
            "city": "Gold River",
            "state": "CA",
            "postal_code": "956706304",
            "country_code": "US",
            "telephone_number": "916-676-0488",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1358 Blue Oaks Blvd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Roseville",
            "state": "CA",
            "postal_code": "956787040",
            "country_code": "US",
            "telephone_number": "916-676-0488",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOJO",
        "first_name": "WAKI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-06",
        "last_updated": "2023-06-06",
        "certification_date": "2023-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Marie Glascock
• Laura Anne Gleason
• Glenn Belen, D.D.S. Elizabeth Vasco, D.D.S., a.P.C.
• David Michael Glenn, MD
• Cynthia Gay Glidewell, RN BS
• Gold Lab
• Tiffany Goldberg, PHARMD
• Golden Angel Medical Transportation Inc
• Golden Angel Medical Transportation Inc
• Bethany Nourse Golden, CNM

• Behavior Technician in San Mateo, CA
• Providers in San Mateo, CA by specialty
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2023; 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.