Nathaniel Davin Rush Mazur
Individual provider Active NPI Behavior Technician · Girloy, CA
NPI 1972259919 · NPPES record last updated Feb 28, 2022
Key facts
- NPI
- 1972259919
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 7500 Arroyo Circle
Suite 180
Girloy, CA 95020 - Phone
- (408) 859-6522
- NPI assigned
- Feb 28, 2022
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
7500 Arroyo Circle
Suite 180
Girloy, CA 95020
Mailing address
15400 Vineyard Blvd.
Apt. 421
Morgan Hill, CA 95037
Phone (408) 722-6175
Other names
- Mr. Nate Mazur
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 28, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.