Healthcare Provider Details

I. General information

NPI: 1619832391
Provider Name (Legal Business Name): MAXIM HEALTHCARE SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/16/2025
Last Update Date: 01/13/2026
Certification Date: 01/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

631 RIVER OAKS PKWY
SAN JOSE CA
95134-1907
US

IV. Provider business mailing address

631 RIVER OAKS PKWY
SAN JOSE CA
95134-1907
US

V. Phone/Fax

Practice location:
  • Phone: 408-914-3851
  • Fax:
Mailing address:
  • Phone: 408-914-3851
  • 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 Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name: TRISHA YEN CHAU
Title or Position: CLINICAL SUPERVIOR
Credential: QBA, IBA
Phone: 408-914-7478