Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1932699022 Individual Practitioner Female Practitioner

Kristine T Phan , BCBA

Behavior Analyst • Lakewood, CA

Professional Overview & Biography Verified Profile Summary

Kristine Phan, BCBA is a registered healthcare professional specializing in Behavior Analyst in Lakewood, CA. Practice services are available at 5834 ADENMOOR AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5834 Adenmoor Ave

Lakewood, CA 907131002

Telephone 3103102931
Associated Practice Facility / Clinic
🏢 Molthen Chiropractic Facility NPI 1477629939

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Lakewood, CA

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

Practicing in Lakewood, 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

Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

State License CA 1-18-30085

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

14 Associated Practitioners
NPI 1124761523

Board Certified Behavior Analyst

Kelsey Fallon

Behavior Analyst

NPI 1255075644
Wing Yan Lam

Behavior Analyst

NPI 1285992735
Miguel Holguin , BCBA

Behavior Analyst

NPI 1366922262

Board Certified Behavior Analyst

Erika Myles

Behavior Analyst

NPI 1376802850
Courtney Pulte , BCBA

Behavior Analyst

NPI 1578894507

Board Certified Behavior Analyst

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active May 14, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location May 14, 2018

Registered at 5834 ADENMOOR AVE, LAKEWOOD, CA 907131002 (Tel: 3103102931)

📍
Updated Business Mailing Address May 14, 2018

Registered at 5834 ADENMOOR AVE, LAKEWOOD, CA 907131002 (Tel: 3103102931)

👤
Provider Name / Credentials Updated May 14, 2018

Recorded as KRISTINE PHAN, BCBA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 14, 2018

Behavior Analyst (License #1-18-30085 in CA)

🟢
Initial NPI Registration & Enumeration May 14, 2018

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: 1932699022
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 14, 2018
Last Update: May 14, 2018
Sole Proprietor: No

Mailing Address

5834 Adenmoor Ave

Lakewood, CA 907131002

Phone: 3103102931

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.