Jacob Neldam-Vasqeuz
Individual provider Active NPI Behavior Analyst · Discovery Bay, CA
NPI 1992298335 · NPPES record last updated Jun 11, 2018
Key facts
- NPI
- 1992298335
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- Practice address
- 2068 Windward PT
Discovery Bay, CA 94505-9513 - Phone
- (925) 483-1752
- NPI assigned
- Jun 11, 2018
- Sex
- Male
- Sole proprietor
- No
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 Analyst | 103K00000X | Yes |
Addresses
Primary practice location
2068 Windward PT
Discovery Bay, CA 94505-9513
Mailing address
2068 Windward PT
Discovery Bay, CA 94505-9513
Phone (925) 483-1752
Other providers in Discovery Bay, CA
- Alicia Miller
- Taunya Moise
- Jessica Munoz
- Darrell R Musick
- Garret Nakata
- Fatima Nezamy
- Arianna Nicole D'Trinidad
- Michael William Olff
- Bobbie Jo Parcasio
- Catherine Pham
All providers in Discovery Bay, CA · Behavior Analyst in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 11, 2018. 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.