Individual provider Active NPI

Parvati Badoni

  • Behavior Analyst
  • San Jose, CA
National Provider Identifier
1982246732
Registry record updated Sep 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-19-37434 Issued in CA
Practice address
3031 Tisch Way
San Jose, CA 95128-2541
Phone
(408) 413-4448
Fax
(408) 413-4448
NPI assigned
Oct 14, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-19-37434 CA Primary

Addresses

Primary practice location

3031 Tisch Way
San Jose, CA 95128-2541

Mailing address

6699 Bogiala Way
Gilroy, CA 95020-7108
Phone (408) 416-7539

Other practice location 1

6699 Bogiala Way
Gilroy, CA 95020-7108
Phone (408) 416-7539

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

Practice roles

OrganizationSpecialtyStatusNew patients
Badoni Behavioral Services LLC Behavior Analyst CurrentSince Jul 1, 2020 Accepting new patients

Locations

3031 Tisch Way
San Jose, CA 95128
Phone (408) 260-0208

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1571011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695254400000",
    "number": "1982246732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6699 BOGIALA WAY",
            "city": "GILROY",
            "state": "CA",
            "postal_code": "950207108",
            "telephone_number": "408-416-7539",
            "fax_number": "408-413-4448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3031 TISCH WAY",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951282541",
            "telephone_number": "408-413-4448",
            "fax_number": "408-413-4448"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6699 Bogiala Way",
            "address_purpose": "LOCATION",
            "city": "Gilroy",
            "state": "CA",
            "postal_code": "950207108",
            "country_code": "US",
            "telephone_number": "408-416-7539",
            "fax_number": "408-413-4448",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BADONI",
        "first_name": "PARVATI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-14",
        "last_updated": "2023-09-21",
        "certification_date": "2023-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-19-37434",
            "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 Sep 21, 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.