Active NPI
Amber Malkin
- Assistant Behavior Analyst
- San Jose, CA
National Provider Identifier
1679205058
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assistant Behavior Analyst
- Practice address
- 1101 S Winchester Blvd Ste N-260
San Jose, CA 95128-3901 - Phone
- (408) 689-4900
- NPI assigned
- Jun 25, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assistant Behavior Analyst | 106E00000X | Primary |
Addresses
Primary practice location
1101 S Winchester Blvd Ste N-260
San Jose, CA 95128-3901
Mailing address
2730 Shadelands Dr BLDG 10
Walnut Creek, CA 94598-2538
Other practice location 1
300 E Main St
Milford, MA 01757-2806
Phone (508) 478-0207
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": "1656115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731369600000",
"number": "1679205058",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2730 SHADELANDS DR BLDG 10",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945982538"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 S WINCHESTER BLVD STE N-260",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951283901",
"telephone_number": "408-689-4900"
}
],
"practiceLocations": [
{
"address_1": "300 E Main St",
"address_purpose": "LOCATION",
"city": "Milford",
"state": "MA",
"postal_code": "017572806",
"country_code": "US",
"telephone_number": "508-478-0207",
"fax_number": "508-634-6984",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MALKIN",
"first_name": "AMBER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-25",
"last_updated": "2024-11-12",
"certification_date": "2024-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "106E00000X",
"taxonomy_group": "",
"desc": "Assistant Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.