Healthcare Provider Details

I. General information

NPI: 1699627927
Provider Name (Legal Business Name): NYSTEDT BEHAVIORAL HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/10/2026
Last Update Date: 02/10/2026
Certification Date: 02/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5052 GLENWOOD CT
PLEASANTON CA
94588-3715
US

IV. Provider business mailing address

5052 GLENWOOD CT
PLEASANTON CA
94588-3715
US

V. Phone/Fax

Practice location:
  • Phone: 415-613-1969
  • Fax:
Mailing address:
  • Phone: 415-613-1969
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name: AARON NYSTEDT
Title or Position: FOUNDER
Credential: MS, BCBA
Phone: 415-613-1969