JENNIFER PHAN


Address: 865 Marina Bay Pkwy Ste 37 & 38, Richmond, CA 94804
Phone: 5104226311

JENNIFER PHAN (NPI# 1396385654) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1396385654
Entity Type Individual
Full Name JENNIFER PHAN
Practice Address 865 Marina Bay Pkwy Ste 37 & 38
Richmond
CA 94804
Mailing Address 21600 Oxnard St Ste 1800
Woodland Hills
CA 91367-7807
Practice Telephone 5104226311
Mailing Telephone 8183452345
Enumeration Date 2020-01-14
Last Update Date 2020-01-14
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 106S00000X Behavior Technician Behavioral Health & Social Service Providers

Other Providers JENNIFER PHAN

NPI Name Taxonomy Address Enumeration
1609372150 Jennifer Phan Nurse Practitioner 1452 Reed Ave, San Diego, CA 92109-5351 2018-04-03
1114333697 Jennifer Phan Pharmacist 6848 Landing Dr, Grand Prairie, TX 75054-6810 2014-07-07
1538443460 Jennifer Trinh Phan Nurse Practitioner 266 Main St Ste 4, Medfield, MA 02052-2018 2011-10-11
1861621880 Jennifer Phan Otolaryngology 3113 N Broadway Street, Anderson, IN 46012-1261 2009-07-12
1376003509 Jennifer Phan Student in an Organized Health Care Education/Training Program 5246 Brittany Dr Fl 3, Baton Rouge, LA 70808-9136 2019-03-22
1023502713 Jennifer Thuy Phan Pharmacist 4810 Lapalco Blvd, Marrero, LA 70072 2018-06-18
1780002055 Jennifer Phan Internal Medicine 200 Medical Plaza Ste 214, Los Angeles, CA 90095-1804 2014-04-02
1205265956 Jennifer Phan Pharmacist 6325 Rosemead Blvd, San Gabriel, CA 91775-1933 2013-11-04
1972930394 Jennifer Kim Phan Pharmacist 1980 Santa Rosa Ave, Santa Rosa, CA 95407 2013-09-30
1780991067 Jennifer N Phan Registered Nurse 7000 E. Belleview, #301, Greenwood Village, CO 80111 2010-09-08

Office Location

Street Address 865 MARINA BAY PKWY STE 37 & 38
City RICHMOND
State CA
Zip Code 94804

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1033769104 Marc Anthony Garcia Behavioral Analyst 865 Marina Bay Parkway, Suite 37 & 38, Richmond, CA 94804 2019-09-19
1447818216 Bay Area Community Services Community/Behavioral Health 3215/3221 Nevin Avenue, Richmond, CA 94804 2019-06-05
1558832709 Eliseo Matthew Beltran Ong Behavior Technician 865 Marina Bay Parkway Building C, Suite 37 & 38, Richmond, CA 94804 2018-12-16
1679064943 Katherine Bacher Counselor 200 24th Str., Richmond, CA 94804 2018-05-22
1508353160 Aveida Home Care LLC In Home Supportive Care 302 S 18th Street, Richmond, CA 94804 2018-04-19
1427577980 Adam Hudson Counselor 3215 Nevin Avenue, Richmond, CA 94804 2017-09-15
1205176583 Anna Fisher Counselor 32 Shoreline Ct, Richmond, CA 94804 2013-02-22
1366744328 Che Hoskins Counselor 820 23rd St., Richmond, CA 94804 2010-11-24
1558671297 Angela May Gaiser Case Manager/Care Coordinator 2500 Bissell Avenue, Richmond, CA 94804 2010-10-15
1376750661 Paulette Devora Brown Counselor 2735 Hinkley Ave., Richmond, CA 94804 2007-05-17
Find all providers in zip 94804

Taxonomy Information

Taxonomy Code 106S00000X
Grouping Behavioral Health & Social Service Providers
Classification Behavior Technician

Taxonomy Definition

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.
Notes: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2016: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1972104750 Dmetric Brown Behavior Technician 3771 South A St, Richmond, IN 47374-6053 2020-11-06
1982203139 Cenata Alexandria Jackson Behavior Technician 7353 Whitepine Rd Bldg G, Richmond, VA 23237-2260 2020-10-20
1104424209 Laichoy Saechao Behavior Technician 611 Nevin Ave Apt B, Richmond, CA 94801-3075 2020-10-12
1932710852 Thuy Ngoc Tran Behavior Technician 8814 Sunrise Terrace Ln, Richmond, TX 77407-4760 2020-08-13
1760091011 Estefania Yamilet Rodriguez Behavior Technician 2360 Gaynor Ave, Richmond, CA 94804-1354 2020-07-23
1518582576 Eric C Krupnick Behavior Technician 7113 Three Chopt Rd # 301, Richmond, VA 23226-3643 2020-06-15
1114540945 Fiorella Nicolle Via Behavior Technician 2838 Lincoln Ave, Richmond, CA 94804-1324 2020-05-27
1356960694 Shant'e Lynette Bellamy Behavior Technician 4906 Cutshaw Ave Ste 200, Richmond, VA 23230-3630 2020-04-15
1104465459 Jessica Elizabeth Melara Behavior Technician 3415 Waller Ave, Richmond, CA 94804-3269 2020-01-03
1003459314 Kevin John Behavior Technician 69068 Beebe St Apt 86, Richmond, MI 48062-1511 2019-10-21
Find all providers in RICHMOND

Competitor

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City RICHMOND
Zip Code 94804

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Dataset Information

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.

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