MEDICARE: JASKARAN JASKARAN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1326997727
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JASKARAN JASKARAN

Provider Business Mailing Address
First Line	:	1048 S WINCHESTER BLVD APT 11
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95128-3728
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1048 S WINCHESTER BLVD APT 11
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95128-3728
Country	:	US
Telephone Number	:	408-385-4419
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/27/2026
Last Update Date	:	01/27/2026

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Directions to “ JASKARAN JASKARAN ” Practice Location

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