Jaidynn Basaldua
Behavior Technician in Capitola, CA. Individual provider (NPI-1).
NPI number1245889013
StatusActive
Last updated in NPPESSep 5, 2019
Details
- NPI
- 1245889013
- Entity type
- Individual (NPI-1)
- Name
- Jaidynn Basaldua
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 5, 2019
- Last updated
- Sep 5, 2019
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
2121 41st AveCapitola, CA 95010-2056
Phone 303-989-8169
Mailing address
2121 41st AveCapitola, CA 95010-2056
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 78 Behavior Technician providers in Capitola · All 473 providers in Capitola
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