ANDREW PHOU (NPI# 1205354941) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205354941 |
| Entity Type | Individual |
| Full Name | ANDREW PHOU |
| Practice Address |
12399 Lewis St Ste 202 Garden Grove CA 92840-4697 |
| Mailing Address |
21600 Oxnard St Ste 1800 Woodland Hills CA 91367-7807 |
| Practice Telephone | 7147500575 |
| Practice Fax Number | 7147500160 |
| Mailing Telephone | 8183452345 |
| Mailing Fax Number | 8187588015 |
| Enumeration Date | 2017-09-01 |
| Last Update Date | 2017-09-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106E00000X | Assistant Behavior Analyst | 0-17-7806 | CA | Behavioral Health & Social Service Providers |
| Street Address |
12399 LEWIS ST STE 202 |
| City | GARDEN GROVE |
| State | CA |
| Zip Code | 92840-4697 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821336843 | Nahal Kashani Hosseinzadeh | Behavioral Analyst | 12399 Lewis St Ste 202, Garden Grove, CA 92840-4697 | 2013-01-25 |
| 1871190645 | Rhiannon Johnson | Behavior Technician | 12399 Lewis St Ste 202, Garden Grove, CA 92840-4697 | 2020-10-05 |
| 1932733060 | Cristina Yates | Behavioral Analyst | 12399 Lewis St Ste 202, Garden Grove, CA 92840-4697 | 2020-02-27 |
| 1720629413 | Kimberly Ngoc Vu | Behavior Technician | 12399 Lewis St Ste 202, Garden Grove, CA 92840-4697 | 2019-10-03 |
| 1720638174 | Angela Bismonte Tran | Behavior Technician | 12399 Lewis St Ste 202, Garden Grove, CA 92840-4697 | 2019-09-18 |
| 1073163374 | Stephanie Marie Hunt | Behavior Technician | 12399 Lewis St Ste 202, Garden Grove, CA 92840-4697 | 2019-09-18 |
| 1033769443 | Amell Bishara | Behavioral Analyst | 12399 Lewis St Ste 202, Garden Grove, CA 92840-4697 | 2019-09-17 |
| 1730739673 | Gemma Natali Gonzalez | Behavioral Analyst | 12399 Lewis St Ste 202, Garden Grove, CA 92840-4697 | 2019-09-12 |
| 1619525516 | Julianne Smith | Behavior Technician | 12399 Lewis St Ste 202, Garden Grove, CA 92840-4697 | 2019-09-03 |
| 1245888411 | Gale Tolentino | Behavior Technician | 12399 Lewis St Ste 202, Garden Grove, CA 92840-4697 | 2019-08-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588283808 | Kimberly Gaeta | Behavioral Analyst | 123935 Lewis Street, Ste 202, Garden Grove, CA 92840 | 2020-04-16 |
| 1396397170 | Rosa Cortez | Behavior Technician | 12443 Lewis Street, #201, Garden Grove, CA 92840 | 2019-07-12 |
| 1376005934 | Sekboppa Sor | Nurse Practitioner | An Lanh Free Clinic, 10861 Acacia Pkwy., Garden Grove, CA 92840 | 2019-04-03 |
| 1346730116 | Vinh Le Tran | Pharmacist | 12666 Brookhurst St. Suite 110, Garden Grove, CA 92840 | 2018-05-16 |
| 1841715232 | Scott R. Blair | Physician Assistant | 12828 Harbor Blvd Ste 200, Garden Grove, CA 92840 | 2017-08-07 |
| 1881049492 | Carmen Keally | Dietitian, Registered | 12602 9th St, Garden Grove, CA 92840 | 2016-05-02 |
| 1548688732 | House Call Medical Associates, Inc. | Internal Medicine | 12865 Main St Ste 105, Garden Grove, CA 92840 | 2014-04-03 |
| 1851733059 | Carly Ann Wade | Marriage & Family Therapist | 12755 Brookhurst St. Ste 116, Garden Grove, CA 92840 | 2013-07-29 |
| 1003159864 | Priyal Shah Ohri | Dentist | 10602 Chapman Ave, Suite 200, Garden Grove, CA 92840 | 2013-03-30 |
| 1770853244 | Joseph Pham | Pharmacist | 12001 Euclid St., Garden Grove, CA 92840 | 2011-12-30 |
| Find all providers in zip 92840 | ||||
| Taxonomy Code | 106E00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Assistant Behavior Analyst |
| An assistant behavior analyst is qualified by Behavior Analyst Certification Board certification and/or a state-issued license or credential in behavior analysis to practice under the supervision of an appropriately credentialed professional behavior analyst. An assistant behavior analyst delivers services consistent with the dimensions of applied behavior analysis and supervision requirements defined in state laws or regulations and/or national certification standards. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing behavior-analytic treatment plans, training and supervising others in implementation of components of treatment plans, and direct implementation of treatment plans. |
| Notes: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851944979 | Tessa Nguyen Legere | Assistant Behavior Analyst | 12399 Lewis St Ste 202, Garden Grove, CA 92840-4697 | 2019-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407457716 | Amanda B Ford | Assistant Behavior Analyst | 12412 Crystal Ranch Rd, Moorpark, CA 93021-2916 | 2020-11-03 |
| 1700493327 | Natalie N Taylor | Assistant Behavior Analyst | 620 E Angela St, Pleasanton, CA 94566-7414 | 2020-09-28 |
| 1174139729 | Janea Jones | Assistant Behavior Analyst | 9377 Haven Ave, Rancho Cucamonga, CA 91730-5340 | 2020-09-18 |
| 1285249300 | Janette Lopez | Assistant Behavior Analyst | 15490 Civic Dr, Victorville, CA 92392-2924 | 2020-09-15 |
| 1073126983 | Raena A Juarez | Assistant Behavior Analyst | 2488 Shield Dr, Union City, CA 94587-1925 | 2020-08-28 |
| 1306459573 | Loremari Samantha Mohr | Assistant Behavior Analyst | 4688 Ontario Mills Parkwar, Ontario, CA 91764 | 2020-08-28 |
| 1730799354 | Krystle Lam | Assistant Behavior Analyst | 7871 Mission Grove Pkwy S Apt 106, Riverside, CA 92508-5032 | 2020-08-07 |
| 1346850344 | James Kahler | Assistant Behavior Analyst | 40509 Calla Lilly St, Murrieta, CA 92563-6443 | 2020-08-04 |
| 1154931244 | Cathern Hedge | Assistant Behavior Analyst | 255 E Rincon St Ste 109, Corona, CA 92879-1367 | 2020-08-04 |
| 1801406814 | Garrett Chase | Assistant Behavior Analyst | 29782 Smugglers Point Dr, Canyon Lake, CA 92587-7474 | 2020-08-04 |
| Find all providers with the same taxonomy | ||||
| City | GARDEN GROVE |
| Zip Code | 92840 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.