Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Nicholas Viet Gustafson

Individual provider Behavior Technician · NPI 1124994926

Nicholas Viet Gustafson is a Behavior Technician in San Jose, California. Licensed in California. Registered with an NPI since 2025.

Licensed in
CA
In the registry since
2025

Practice location Address checks out

631 River Oaks Pkwy
San Jose, CA 95134-1907
Phone: (408) 914-3851
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X (CA)

Record details

NPI number1124994926
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 17, 2025
Last updated in NPPESOctober 17, 2025
Certification dateOctober 17, 2025

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