Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1962242743 Individual Practitioner Female Practitioner

Tina Phan

Behavior Analyst • Campbell, CA

Professional Overview & Biography Verified Profile Summary

Tina Phan is a registered healthcare professional specializing in Behavior Analyst in Campbell, CA. Practice services are available at 577 SALMAR AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

577 Salmar Ave

Campbell, CA 950081453

Telephone 6692425090

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Campbell, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 8.8 Yrs
Regional Practice Density
36 Specialists

Practicing in Campbell, CA (20508 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-09-12
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

State License CA 1-25-80555

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Joaquin Magana

Behavior Technician

NPI 1013864693
Amber Carranza

Behavior Technician

NPI 1033052220
Carla Reyna Reyes

Behavior Technician

NPI 1033062096
Kristen Banchieri

Behavior Technician

NPI 1043039480
Gerard Truong

Behavior Technician

NPI 1124850474
Jared Weinstock

Behavior Technician

NPI 1124978275

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location September 12, 2025

Registered at 577 SALMAR AVE, CAMPBELL, CA 950081453 (Tel: 6692425090)

📍
Updated Business Mailing Address September 12, 2025

Registered at 577 SALMAR AVE, CAMPBELL, CA 950081453 (Tel: 6692425090)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 12, 2025

Behavior Analyst (License #1-25-80555 in CA)

NPI Profile Active May 29, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location May 29, 2024

Registered at 109 OAK ST STE G20, NEWTON, MA 024641492 (Tel: 6176585611)

📍
Updated Business Mailing Address May 29, 2024

Registered at 109 OAK ST STE G20, NEWTON, MA 024641492 (Tel: 6176585611)

👤
Provider Name / Credentials Updated May 29, 2024

Recorded as TINA PHAN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 29, 2024

Behavior Technician

🟢
Initial NPI Registration & Enumeration May 29, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1962242743
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 29, 2024
Last Update: September 12, 2025
Sole Proprietor: No

Mailing Address

577 Salmar Ave

Campbell, CA 950081453

Phone: 6692425090

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.