Individual provider Active NPI

Jared Lee Steck, HIGH SCHOOL DIPLOMA

  • Behavior Technician
  • San Jose, CA
National Provider Identifier
1962993725
Registry record updated May 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
F8619331 Issued in CA
Practice address
3610 Snell Ave # Ca95136
San Jose, CA 95136-1305
Phone
(408) 618-5267
NPI assigned
May 28, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 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 F8619331 CA Primary

Addresses

Primary practice location

3610 Snell Ave # Ca95136
San Jose, CA 95136-1305

Mailing address

15905 Jackson Oaks Dr
Morgan Hill, CA 95037-6804
Phone (650) 960-1560

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
F8619331CAMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1527465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527465600000",
    "number": "1962993725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15905 JACKSON OAKS DR",
            "city": "MORGAN HILL",
            "state": "CA",
            "postal_code": "950376804",
            "telephone_number": "650-960-1560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3610 SNELL AVE # CA95136",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951361305",
            "telephone_number": "408-618-5267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STECK",
        "first_name": "JARED",
        "middle_name": "LEE",
        "credential": "HIGH SCHOOL DIPLOMA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-05-28",
        "last_updated": "2018-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": "F8619331",
            "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 May 28, 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.