BOBBIE EDWARDS (NPI# 1891065686) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891065686 |
| Entity Type | Individual |
| Full Name | BOBBIE EDWARDS |
| Credential | BCBA, MS |
| Practice Address |
1479 Saratoga Ave San Jose CA 95129 |
| Mailing Address |
1704 Miramonte Ave Ste 3 Mountain View CA 94040-3718 |
| Practice Telephone | 8779910009 |
| Mailing Telephone | 6509309550 |
| Mailing Fax Number | 6503865991 |
| Enumeration Date | 2012-01-10 |
| Last Update Date | 2018-08-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103K00000X | Behavioral Analyst | 1052211 | Behavioral Health & Social Service Providers | |
| N | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers | ||
| Y | 103K00000X | Behavioral Analyst | 1-05-2211 | TX | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BCBA | 1-05-2211 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821292855 | Bobbie Lynn Edwards | Counselor | 134 Main Street, Flemington, NJ 08822 | 2007-06-13 |
| Street Address |
1479 SARATOGA AVE |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95129 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689275695 | Valeska Nicole Elvir | Behavior Technician | 1479 Saratoga Ave, San Jose, CA 95129-4934 | 2020-11-05 |
| 1669073524 | Angela Marie Talla | Behavior Technician | 1479 Saratoga Ave, San Jose, CA 95129-4934 | 2020-11-05 |
| 1811598873 | Anthony Chen | Behavior Technician | 1479 Saratoga Ave, San Jose, CA 95129-4934 | 2020-11-05 |
| 1205434800 | Catalina Macias | Behavior Technician | 1479 Saratoga Ave, San Jose, CA 95129-4934 | 2020-10-15 |
| 1508471749 | Leslie Ortiz Andrade | Behavior Technician | 1479 Saratoga Ave, San Jose, CA 95129-4934 | 2020-09-14 |
| 1508479163 | Madison Q Burnham | Behavior Technician | 1479 Saratoga Ave, San Jose, CA 95129-4934 | 2020-08-24 |
| 1598378150 | Ryan Paxson | Behavior Technician | 1479 Saratoga Ave, San Jose, CA 95129-4934 | 2020-08-24 |
| 1043822513 | Iris Mejia | Behavior Technician | 1479 Saratoga Ave, San Jose, CA 95129-4934 | 2020-08-17 |
| 1689286155 | Leilani Joy Corral | Behavior Technician | 1479 Saratoga Ave, San Jose, CA 95129-4934 | 2020-08-17 |
| 1508478074 | Tania Patricia Aleman | Behavior Technician | 1479 Saratoga Ave, San Jose, CA 95129-4934 | 2020-08-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528535176 | Sunlife Acupuncture Health Center Inc. | Acupuncturist | 6172 Bollinger Rd., San Jose, CA 95129 | 2018-10-31 |
| 1710472642 | Shen Zhang | Acupuncturist | 1072 S De Anza Blvd Ste A108, San Jose, CA 95129 | 2018-06-23 |
| 1023531217 | Rachana Vyas Dds Inc | Clinic/Center | 1002 S Deanza Blvd, #d, San Jose, CA 95129 | 2017-07-20 |
| 1477908119 | Emily O. Perrotta | Marriage & Family Therapist | 1745 Saratoga Ave #204, San Jose, CA 95129 | 2016-05-02 |
| 1306214325 | Amanda Montgomery | Psychologist | 4300 Stevens Creek Blvd Ste 260, San Jose, CA 95129 | 2015-09-08 |
| 1659640753 | Gail Elizabeth Nabarrete | Social Worker | 780 Saratoga Ave, S310, San Jose, CA 95129 | 2011-12-19 |
| 1891063574 | Elizabeth Duell | Dentist | 4635 Piper Drive, San Jose, CA 95129 | 2011-12-08 |
| 1033486519 | Stephanie Truvonne Hawkins | Family Medicine | 9292 De Anza Blvd, Suite 101, San Jose, CA 95129 | 2011-11-28 |
| 1568607828 | Irina Vaynshteyn | Dentist | 1888 Saratoga Ave Ste 102, San Jose, CA 95129 | 2008-12-15 |
| 1407039118 | Everblossom Healthcare | Exclusive Provider Organization | 1084 S De Anza Blvd. Suite A, San Jose, CA 95129 | 2007-12-17 |
| Find all providers in zip 95129 | ||||
| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. |
| Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194332049 | B Is for Butterfly | Behavioral Analyst | 1314 Bilbo Ct, San Jose, CA 95121-2402 | 2020-09-24 |
| 1942816673 | Christian Jose Antonio Carrillo | Behavioral Analyst | 2420 Klein Rd, San Jose, CA 95148-1801 | 2020-09-17 |
| 1770193146 | Melissa Leon Sierra | Behavioral Analyst | 2146 Pacina Dr, San Jose, CA 95116-3647 | 2020-07-31 |
| 1215552435 | Jaime Kim | Behavioral Analyst | 1494 Hamilton Ave, San Jose, CA 95125-4535 | 2020-06-12 |
| 1346865979 | Bloom Aba | Behavioral Analyst | 2326 Oak Flat Rd, San Jose, CA 95131-1929 | 2020-06-09 |
| 1760018907 | Vanessa Parker | Behavioral Analyst | 2895 Old Almaden Rd Apt 12, San Jose, CA 95125-4236 | 2020-03-19 |
| 1326673104 | Roque Leon | Behavioral Analyst | 576 S 5th St Apt 18, San Jose, CA 95112-5649 | 2020-03-11 |
| 1881234482 | Silvia Maria Pinto | Behavioral Analyst | 2007 W Hedding St Ste 214, San Jose, CA 95128-1428 | 2020-01-10 |
| 1376182717 | Serena Richardson | Behavioral Analyst | 2007 W Hedding St Ste 201, San Jose, CA 95128-1428 | 2020-01-02 |
| 1205479409 | Jennifer Hunter | Behavioral Analyst | 223 Birch Ridge Cir, San Jose, CA 95123-2655 | 2019-10-21 |
| 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.