IndividualActive
Nicholas Gustafson
NPI 1124994926 · Behavior Technician · San Jose, CA
Nicholas Gustafson is a Behavior Technician provider in San Jose, CA (NPI 1124994926).
Provider details
- NPI number
- 1124994926
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Basic profile(47/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
631 River Oaks Pkwy
San Jose, CA 95134-1907
Phone: (408) 914-3851
Street-level locationGet directions
Mailing address
1145 N 4th St
San Jose, CA 95112-4945
Registry dates
- Enumerated
- 2025-10-17
- Last updated
- 2025-10-17
- Certified
- 2025-10-17
Frequently asked questions
- What is Nicholas Gustafson's NPI number?
- Nicholas Gustafson's National Provider Identifier (NPI) is 1124994926, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Nicholas Gustafson's specialty?
- Nicholas Gustafson is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Nicholas Gustafson located?
- Nicholas Gustafson's practice location on file with NPPES is 631 River Oaks Pkwy, San Jose, CA 95134-1907.
- What is Nicholas Gustafson's phone number?
- The practice phone number listed in the NPPES registry for Nicholas Gustafson is (408) 914-3851.
- Is Nicholas Gustafson's NPI active?
- Yes — Nicholas Gustafson's NPI (1124994926) is active in the NPPES registry as of the last update on 2025-10-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.