MS. GLADYS CHAN BCBA
NPI 1013342096
Behavior Analyst in San Ramon, CA

Q: What is Gladys Chan's NPI number?

The NPI number for Gladys Chan is 1013342096. It was assigned to this individual provider in the NPPES registry on September 9, 2013.

Q: What is Gladys Chan's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

Q: When was this NPI record last updated?

The NPPES record for Gladys Chan was last updated on July 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 09, 2013PECOS Enrolled

2010 CROW CANYON PL STE 100, SAN RAMON, CA 94583(855) 832-6727(772) 675-9100 Get Directions Write a Review

NPPES record last updated: July 14, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Ms. Gladys Chan Bcba NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. GLADYS CHAN BCBA (NPI 1013342096) is an individual behavior analyst provider in San Ramon, California, licensed in (11211765) and active in the NPI registry since September 2013. She is enrolled in Medicare PECOS, maintains a secondary practice location in Fremont, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1013342096

Entity TypeIndividualFemale

Primary Taxonomy103K00000X

Provider Legal NameMS. GLADYS CHANCredential: BCBA

Location Address2010 CROW CANYON PL STE 100San Ramon, CA 94583-1344

Mailing Address7108 S Kanner HwyStuart, FL 34997-7462 · (866) 832-6727 · Fax (772) 675-9100

Phone(855) 832-6727

Fax(772) 675-9100

Sole ProprietorYes

Medical School CMSOtherGraduated 2014

Enumeration DateSeptember 9, 2013

Last NPPES UpdateJuly 14, 2021

NPPES CertifiedJuly 14, 2021

✔ NPI 1013342096 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers

Taxonomy Code103K00000X

License✔ Licensed · 11211765

Definition

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

2010 CROW CANYON PL STE 100, San Ramon, CA 94583

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Secondary Practice Location 1

Location 133769 Mello WayFremont, CA 94555-1305 · Phone (510) 676-9996

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Gladys Chan Bcba is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6608382692

PECOS Enrollment IDI20250717002643

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALEXCIA ANDERSON

Behavior Analyst