MOULAY-KHALID BAZZI EL IDRISSI (NPI# 1669011698) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669011698 |
| Entity Type | Individual |
| Full Name | MOULAY-KHALID BAZZI EL IDRISSI |
| Practice Address |
100 Oconnor Dr Ste 21 San Jose CA 95128-1638 |
| Mailing Address |
Po Box 767938 Roswell GA 30076-7938 |
| Practice Telephone | 8552953276 |
| Mailing Telephone | 8182416780 |
| Enumeration Date | 2019-12-20 |
| Last Update Date | 2019-12-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Street Address |
100 OCONNOR DR STE 21 |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95128-1638 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205317872 | Bekele Tarekegn | Behavior Technician | 100 Oconnor Dr Ste 21, San Jose, CA 95128-1638 | 2018-08-22 |
| 1437783172 | Maria Crisan | Behavior Technician | 100 Oconnor Dr Ste 21, San Jose, CA 95128-1638 | 2020-03-02 |
| 1851925697 | Alexandra Rosas | Behavior Technician | 100 Oconnor Dr Ste 21, San Jose, CA 95128-1638 | 2020-03-02 |
| 1629608823 | Benyamin Yam | Behavior Technician | 100 Oconnor Dr Ste 21, San Jose, CA 95128-1638 | 2020-01-16 |
| 1053951277 | Darla Phoun | Behavior Technician | 100 Oconnor Dr Ste 21, San Jose, CA 95128-1638 | 2020-01-15 |
| 1588204887 | Tamika Monica Cox | Behavior Technician | 100 Oconnor Dr Ste 21, San Jose, CA 95128-1638 | 2020-01-14 |
| 1982244281 | Juan Pedro Castaneda Chavez | Behavior Technician | 100 Oconnor Dr Ste 21, San Jose, CA 95128-1638 | 2020-01-14 |
| 1356981658 | Rotem Gotlieb | Behavior Technician | 100 Oconnor Dr Ste 21, San Jose, CA 95128-1638 | 2020-01-14 |
| 1053950980 | Manuel Molina | Behavior Technician | 100 Oconnor Dr Ste 21, San Jose, CA 95128-1638 | 2019-12-23 |
| 1447899471 | Juhi Gor | Behavior Technician | 100 Oconnor Dr Ste 21, San Jose, CA 95128-1638 | 2019-12-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982227138 | Ruth Larsen | Social Worker | 850 S. Bascom Avenue, Suite 280, San Jose, CA 95128 | 2020-05-22 |
| 1265067185 | Of Two Minds Psychotherapy | Marriage & Family Therapist | 190 S. Bascom Ave, Ste 130, San Jose, CA 95128 | 2020-03-11 |
| 1982244166 | Cindy Pantoja Escobar | Behavior Technician | 100 O'connor Drive, Suites 21, San Jose, CA 95128 | 2020-01-15 |
| 1104460591 | Katherine Alexandra Misogas | Pharmacist | 777 Turner Dr # 330, San Jose, CA 95128 | 2019-10-29 |
| 1942842216 | Jodie Pierce | Marriage & Family Therapist | 871 Enborg Lane, San Jose, CA 95128 | 2019-10-08 |
| 1003466434 | Dong Mi Cha | Pharmacist | 777 Turner Dr Ste 330, San Jose, CA 95128 | 2019-09-17 |
| 1114571759 | Sleep Well Acupuncture, Inc | Acupuncturist | 1361 S Winchester Blvd Suite 206, San Jose, CA 95128 | 2019-08-01 |
| 1083277677 | Wellocity, Inc | Health Educator | 334 Santana Row, 318, San Jose, CA 95128 | 2019-04-18 |
| 1518428812 | Alexander Diaz | Radiology | 75 South Bascom Ave, San Jose, CA 95128 | 2019-03-28 |
| 1720542103 | Nanci R Price Inc | Chiropractor | 100 O'connor Dr., Ste 27, San Jose, CA 95128 | 2019-01-30 |
| Find all providers in zip 95128 | ||||
| Taxonomy Code | 106S00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavior Technician |
| The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work. |
| Notes: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407457583 | Jennifer Carrillo | Behavior Technician | 1682 Virginia Ave Apt 1, San Jose, CA 95116-2944 | 2020-11-04 |
| 1720689268 | Elizabeth Bigelow | Behavior Technician | 5751 Via Monte Dr Apt B, San Jose, CA 95118-3271 | 2020-11-02 |
| 1720685357 | Natia Chitadze | Behavior Technician | 5875 Charlotte Dr Apt 307, San Jose, CA 95123-6871 | 2020-10-06 |
| 1235746306 | Patricia Yazmin Landa Garibay | Behavior Technician | 820 N Jackson Ave, San Jose, CA 95133-1223 | 2020-09-23 |
| 1134739022 | Esperanza Garnica | Behavior Technician | 346 Menker Ave, San Jose, CA 95128-2401 | 2020-08-05 |
| 1629688593 | Jael Nunez Saavedra | Behavior Technician | 1497 Saratoga Ave, San Jose, CA 95129-4938 | 2020-08-05 |
| 1194334839 | Jason Sanders Jr. | Behavior Technician | 1590 De Rose Way, San Jose, CA 95126-4141 | 2020-07-29 |
| 1134738875 | Ugochukwu Kas-osoka | Behavior Technician | 164 Park Sharon Dr, San Jose, CA 95136-2535 | 2020-07-29 |
| 1104443407 | Khady Fall | Behavior Technician | 408 494 1561, 614 Tully Road, San Jose, CA 95112 | 2020-07-02 |
| 1114544376 | Katrina Chua | Behavior Technician | 369 Longhill Ct, San Jose, CA 95138-1392 | 2020-07-02 |
| Find all providers in SAN JOSE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.