JESSICA CHAN MS.ED., BCBA
NPI 1033707153
Behavior Analyst in Fresh Meadows, NY

Active since January 05, 2021
4917 170TH ST, FRESH MEADOWS, NY 11365(646) 549-6291 Get Directions Write a Review

NPPES record last updated: April 26, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 26, 2021, Jan 5, 2021 (2 updates tracked since 2021).

About Jessica Chan Ms.ed., Bcba NPPES

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

JESSICA CHAN MS.ED., BCBA (NPI 1033707153) is an individual behavior analyst provider in Fresh Meadows, New York, licensed in (BACB526371) and active in the NPI registry since January 2021.

NPPES Registry Identity

NPI1033707153
Entity TypeIndividualFemale
Primary Taxonomy103K00000X
Provider Legal NameJESSICA CHANCredential: MS.ED., BCBA
Location Address4917 170TH STFresh Meadows, NY 11365-1012
Mailing Address4917 170th StFresh Meadows, NY 11365-1012 · (646) 549-6291
Sole ProprietorYes
Enumeration DateJanuary 5, 2021
Last NPPES UpdateApril 26, 20212 updates tracked since enumeration
NPPES CertifiedApril 26, 2021
NPI 1033707153 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 · BACB526371
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.

4917 170TH ST, Fresh Meadows, NY 11365

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jessica Chan's NPI number?

The NPI number for Jessica Chan is 1033707153. It was assigned to this individual provider in the NPPES registry on January 5, 2021.

Where is Jessica Chan located?

Jessica Chan practices at 4917 170th St, Fresh Meadows, NY 11365. The listed phone number is (646) 549-6291.

What is Jessica Chan's specialty?

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

When was this NPI record last updated?

The NPPES record for Jessica Chan was last updated on April 26, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.