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JENRICK TAN
NPI 1124914601
Behavior Analyst in San Leandro, CA

Active since June 13, 2025
14712 PEPPERDINE ST, SAN LEANDRO, CA 94579(510) 701-6057 Get Directions Write a Review

NPPES record last updated: June 13, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jenrick Tan NPPES

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

JENRICK TAN (NPI 1124914601) is an individual behavior analyst provider in San Leandro, California and active in the NPI registry since June 2025.

NPPES Registry Identity

NPI1124914601
Entity TypeIndividualMale
Primary Taxonomy103K00000X
Provider Legal NameJENRICK TAN
Location Address14712 PEPPERDINE STSan Leandro, CA 94579-1161
Mailing Address14712 Pepperdine StSan Leandro, CA 94579-1161 · (510) 701-6057
Phone(510) 701-6057
Sole ProprietorYes
Enumeration DateJune 13, 2025
NPPES CertifiedJune 13, 2025
✔ NPI 1124914601 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers
Taxonomy Code103K00000X
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.
14712 PEPPERDINE ST, San Leandro, CA 94579
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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 Jenrick Tan's NPI number?

The NPI number for Jenrick Tan is 1124914601. It was assigned to this individual provider in the NPPES registry on June 13, 2025.

Where is Jenrick Tan located?

Jenrick Tan practices at 14712 Pepperdine St, San Leandro, CA 94579. The listed phone number is (510) 701-6057.

What is Jenrick Tan'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 Jenrick Tan was last updated on June 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.