MEDICARE: MR. STEVE NICHOLAS JASZANOVITS JR.

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	:	1881555860
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. STEVE NICHOLAS JASZANOVITS JR.

Provider Business Mailing Address
First Line	:	3759 MARCHANT DR
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95127-3635
Country	:	US
Telephone Number	:	209-229-0145
Fax Number	:

Provider Business Practice Location Address
First Line	:	6051 N FRESNO ST STE 102
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93710-5280
Country	:	US
Telephone Number	:	443-430-7570
Fax Number	:

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

Provider Enumeration Date	:	11/19/2025
Last Update Date	:	05/06/2026

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