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Khady Fall

Behavior Technician β€’ San Jose, CA

Active NPI 1104443407 Individual Practitioner Female Practitioner
Practice location in NPPES

1887 Monterey Road, Suite 205
San Jose, CA 95112

Call 4089614040 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1887 Monterey Road
Suite 205

San Jose, CA 95112

Telephone 4089614040
Fax 4022923640
Organization at the Same NPPES Address or Phone
County Of Santa Clara Facility NPI 1699885079

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Industry payments (Open Payments)

Fewer than 11 payment records totaling $75.00 in 2025

Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.

These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.

General: payments not tied to research, such as meals, travel, consulting or speaking fees.

A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.

Source: CMS Open Payments, program year 2025.

Guide: How to read an Open Payments record

NPI first issued

2020

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians, CMS release of October 2, 2026; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians, CMS release of October 2, 2026.

Guide: How Medicare covers telehealth

Compared with the same specialty in San Jose and California

3,936 active clinicians are listed under Behavior Technician with a practice address in San Jose, CA (179,862 in California).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in San Jose

0% of these 3,936 clinicians have the CMS telehealth indicator.

0% of these 3,936 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Open Payments (2025), CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments Β· Program Year 2025

Program year 2025 (payments made January 1 – December 31, 2025): fewer than 11 records totaling $75.00.

Manufacturer Payment Nature Product Type Amount ($)
Abbott Laboratories
Food and Beverage
In-kind items and services
DRAGONFLY OPSTAR General $75.00

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-06-02
Behavior Technician Primary Specialty

NUCC Taxonomy Code: 106S00000X

License # reported to NPPES CA PT36947

The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.

Rehabilitation Practitioner

NUCC Taxonomy Code: 225400000X

A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Medical Board of California.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 02, 2025

Rehabilitation Practitioner

πŸ“
Updated Practice Location October 27, 2023

Registered at 1887 MONTEREY ROAD, SUITE 205, SAN JOSE, CA 95112 (Tel: 4089614040)

βœ…
NPI Profile Active July 02, 2020

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 02, 2020

Registered at 408 494 1561, 614 TULLY ROAD, SAN JOSE, CA 95112 (Tel: 4088964982)

πŸ“
Business Mailing Address (Initial Record) July 02, 2020

Registered at 614 TULLY RD, SAN JOSE, CA 951111048 (Tel: 4088964982)

πŸ‘€
Provider Name / Credentials (Initial Record) July 02, 2020

Recorded as KHADY FALL

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 02, 2020

Behavior Technician (license number reported to NPPES: CA PT36947)

🟒
Initial NPI Registration & Enumeration July 02, 2020

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1104443407
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 02, 2020
Last Update: June 02, 2025
Sole Proprietor: No

Mailing Address

614 Tully Rd

San Jose, CA 951111048

Phone: 4088964982

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.