KRISTIE M PAN BCBA
NPI 1609439751
Behavior Analyst in San Mateo, CA

Q: What is Kristie Pan's NPI number?

The NPI number for Kristie Pan is 1609439751. It was assigned to this individual provider in the NPPES registry on April 15, 2019.

Q: What is Kristie Pan'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 Kristie Pan was last updated on April 15, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 April 15, 2019

1720 S AMPHLETT BLVD STE 110, SAN MATEO, CA 94402(650) 483-9174 Get Directions Write a Review

NPPES record last updated: April 15, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kristie M Pan Bcba NPPES

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

KRISTIE M PAN BCBA (NPI 1609439751) is an individual behavior analyst provider in San Mateo, California, licensed in California (1-18-33500) and active in the NPI registry since April 2019.

NPPES Registry Identity

NPI1609439751

Entity TypeIndividualFemale

Primary Taxonomy103K00000X

Provider Legal NameKRISTIE M PANCredential: BCBA

Location Address1720 S AMPHLETT BLVD STE 110San Mateo, CA 94402-2710

Mailing Address500 Holyoke StSan Francisco, CA 94134-1737 · (415) 816-2705

Phone(650) 483-9174

Sole ProprietorNo

Enumeration DateApril 15, 2019

✔ NPI 1609439751 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 · 1-18-33500

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.

1720 S AMPHLETT BLVD STE 110, San Mateo, CA 94402

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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.

MADISON CHRISTINE AUSMUS

Behavior Technician