ELISHA ROSE TUALLA PANGAN-KENNEDY
NPI 1164305983
Behavior Technician in Stockton, CA
About Elisha Rose Tualla Pangan-kennedy NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELISHA ROSE TUALLA PANGAN-KENNEDY (NPI 1164305983) is an individual behavior technician in Stockton, California and active in the NPI registry since July 2025.
NPPES Registry Identity
Specialties & Licenses
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 Elisha Rose Pangan-kennedy's NPI number?
The NPI number for Elisha Rose Pangan-kennedy is 1164305983. It was assigned to this individual provider in the NPPES registry on July 29, 2025.
Where is Elisha Rose Pangan-kennedy located?
Elisha Rose Pangan-kennedy practices at 6967 Fredericksburg Pl, Stockton, CA 95207. The listed phone number is (209) 639-6511.
What is Elisha Rose Pangan-kennedy's specialty?
The primary specialty registered for this NPI is Behavior Technician with taxonomy code 106S00000X.
When was this NPI record last updated?
The NPPES record for Elisha Rose Pangan-kennedy was last updated on July 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.