Easter Seals Bay Area is a
Behavior Analyst based in San Jose, California. Easter Seals Bay Area is licensed to practice in * (Not Available) (license number ) and their current practice location is
1101 South Winchester Blvd., Suite N260, San Jose, California. It can be reached at their office (for appointments etc.) via phone at
(408) 654-9311.
NPI number for Easter Seals Bay Area is 1902134547 and their current mailing address is 2730 Shadelands Drive, Bldg. 10, Walnut Creek, California. Easter Seals Bay Area
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1902134547.
Healthcare Provider's Profile
| Full Name | Easter Seals Bay Area |
|---|
| Type | Facility |
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| Speciality | Behavior Analyst |
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| Location | 1101 South Winchester Blvd., Suite N260, San Jose, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1902134547
- Provider Enumeration Date: 11/19/2009
- Last Update Date: 11/05/2018
Medical Identifiers
Medical identifiers for Easter Seals Bay Area such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1902134547 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225XP0200X | Occupational Therapist - Pediatrics | (* (Not Available)) | Secondary |
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Secondary |
| 252Y00000X | Early Intervention Provider Agency | 6626 (California) | Secondary |
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Easter Seals Bay Area is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Easter Seals Bay Area
2730 Shadelands Drive, Bldg. 10,
Walnut Creek, CA 94598
Ph: (925) 266-8400 | Easter Seals Bay Area
1101 South Winchester Blvd., Suite N260,
San Jose, CA 95128
Ph: (408) 654-9311 |
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