KRISTINE T PHAN BCBA
NPI 1932699022
Behavior Analyst in Lakewood, CA

Active since May 14, 2018
5834 ADENMOOR AVE, LAKEWOOD, CA 90713(310) 310-2931 Get Directions Write a Review

NPPES record last updated: May 14, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kristine T Phan Bcba NPPES

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

KRISTINE T PHAN BCBA (NPI 1932699022) is an individual behavior analyst provider in Lakewood, California, licensed in California (1-18-30085) and active in the NPI registry since May 2018.

NPPES Registry Identity

NPI1932699022
Entity TypeIndividualFemale
Primary Taxonomy103K00000X
Provider Legal NameKRISTINE T PHANCredential: BCBA
Location Address5834 ADENMOOR AVELakewood, CA 90713-1002
Mailing Address5834 Adenmoor AveLakewood, CA 90713-1002 · (310) 310-2931
Sole ProprietorNo
Enumeration DateMay 14, 2018
NPI 1932699022 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 · 1-18-30085
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.
5834 ADENMOOR AVE, Lakewood, CA 90713

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.

Behavior Technician
5834 ADENMOOR AVE
LAKEWOOD, CA 90713
Behavior Technician
5834 ADENMOOR AVE
LAKEWOOD, CA 90713
Behavior Technician
5834 ADENMOOR AVE
LAKEWOOD, CA 90713
Behavior Technician
5834 ADENMOOR AVE
LAKEWOOD, CA 90713
Behavior Technician
5834 ADENMOOR AVE
LAKEWOOD, CA 90713
Behavior Technician
5834 ADENMOOR AVE
LAKEWOOD, CA 90713
Behavior Technician
5834 ADENMOOR AVE
LAKEWOOD, CA 90713
Behavior Technician
5834 ADENMOOR AVE
LAKEWOOD, CA 90713

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 Kristine Phan's NPI number?

The NPI number for Kristine Phan is 1932699022. It was assigned to this individual provider in the NPPES registry on May 14, 2018.

Where is Kristine Phan located?

Kristine Phan practices at 5834 Adenmoor Ave, Lakewood, CA 90713. The listed phone number is (310) 310-2931.

What is Kristine Phan'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 Kristine Phan was last updated on May 14, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.