ELISHA ROSE TUALLA PANGAN-KENNEDY
NPI 1164305983
Behavior Technician in Stockton, CA

Active since July 29, 2025
6967 FREDERICKSBURG PL, STOCKTON, CA 95207(209) 639-6511 Get Directions Write a Review

NPPES record last updated: July 29, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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

NPI1164305983
Entity TypeIndividualFemale
Primary Taxonomy106S00000X
Provider Legal NameELISHA ROSE TUALLA PANGAN-KENNEDY
Location Address6967 FREDERICKSBURG PLStockton, CA 95207-2431
Mailing Address1075 Creekside Ridge Dr Ste 280Roseville, CA 95678-3504
Sole ProprietorNo
Enumeration DateJuly 29, 2025
NPPES CertifiedJuly 29, 2025
NPI 1164305983 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyBehavior TechnicianBehavioral Health & Social Service Providers
Taxonomy Code106S00000X
Definition
The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.
6967 FREDERICKSBURG PL, Stockton, CA 95207

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.