QUYNH TIEN Y PHAN
NPI 1134615867
Behavior Analyst in San Diego, CA

Q: What is Quynh Tien Phan's NPI number?

The NPI number for Quynh Tien Phan is 1134615867. It was assigned to this individual provider in the NPPES registry on July 5, 2018.

Q: What is Quynh Tien Phan'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 Quynh Tien Phan was last updated on August 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 July 05, 2018

8885 RIO SAN DIEGO DR STE 340, SAN DIEGO, CA 92108(619) 436-8203 Get Directions Write a Review

NPPES record last updated: August 17, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 17, 2021, Aug 21, 2019, Jul 5, 2018 (3 updates tracked since 2018).

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About Quynh Tien Y Phan NPPES

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

QUYNH TIEN Y PHAN (NPI 1134615867) is an individual behavior analyst provider in San Diego, California, licensed in California (1-18-30247) and active in the NPI registry since July 2018. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1134615867

Entity TypeIndividualFemale

Primary Taxonomy103K00000X

Provider Legal NameQUYNH TIEN Y PHAN

Location Address8885 RIO SAN DIEGO DR STE 340San Diego, CA 92108-1669

Mailing Address8885 Rio San Diego Dr Ste 340San Diego, CA 92108-1669 · (619) 436-8203

Phone(619) 436-8203

Sole ProprietorYes

Enumeration DateJuly 5, 2018

Last NPPES UpdateAugust 17, 20213 updates tracked since enumeration

NPPES CertifiedAugust 17, 2021

✔ NPI 1134615867 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 in CA · 1-18-30247

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.

8885 RIO SAN DIEGO DR STE 340, San Diego, CA 92108

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Secondary Practice Locations 2

Location 13110 Camino Del Rio S Ste 307San Diego, CA 92108-3832 · Phone (619) 795-9925

Location 29620 Chesapeake Dr Ste 105San Diego, CA 92123-1324 · Phone (858) 505-9083

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.

KELSEY GOODWIN GLOCKLER

Behavior Technician