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Deactivated NPI 1871260257 Deactivated / Inactive NPI Male Practitioner

Jack Dang

Behavior Technician • Santa Ana, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Jack Dang has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 24, 2021
NPI Deactivation Date September 11, 2024
Total Practice Duration ~3 Years of Practice (2021 – 2024)

Professional Overview & Biography Verified Profile Summary

Jack Dang was a registered Behavior Technician practicing in Santa Ana, CA. Throughout an active medical career spanning 3 years, Jack Dang provided care at the practice location at 2670 N MAIN ST STE 305 until profile deactivation on 2024-09-11.

Practice Location & Contact Primary Location

Practice Address

2670 N Main St Ste 305

Santa Ana, CA 927056693

Telephone 7146560354
Associated Practice Facility / Clinic
🏢 Behavior Frontiers, Llc Facility NPI 1053734012

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Technician in Santa Ana, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 5.0 Yrs
Regional Practice Density
1631 Specialists

Practicing in Santa Ana, CA (172337 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

Behavior Technician Primary Specialty

NUCC Taxonomy Code: 106S00000X

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.

Practice Associates & Co-Workers

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

14 Associated Practitioners
Sarah Loper

Behavior Analyst

NPI 1053950840
NPI 1073087607

Board Certified Behavior Analyst

Asia Canseco

Behavior Technician

NPI 1073274197
William Owens

Behavior Technician

NPI 1174098164
Tara Kreymer , MA, BCBA

Behavior Analyst

NPI 1275054249

Master of Arts, Board Certified Behavior Analyst

Karina Camarena

Behavior Technician

NPI 1346919701

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated September 11, 2024

Record deactivated on September 11, 2024

NPI Profile Active August 24, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location August 24, 2021

Registered at 2670 N MAIN ST STE 305, SANTA ANA, CA 927056693 (Tel: 7146560354)

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Updated Business Mailing Address August 24, 2021

Registered at 18726 S WESTERN AVE, GARDENA, CA 902483813 (Tel: 3108560800)

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Provider Name / Credentials Updated August 24, 2021

Recorded as JACK DANG

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 24, 2021

Behavior Technician

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Initial NPI Registration & Enumeration August 24, 2021

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: 1871260257
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 24, 2021
Last Update: August 24, 2021
Deactivation Date: September 11, 2024

Mailing Address

18726 S Western Ave

Gardena, CA 902483813

Phone: 3108560800

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.