KEVIN PHAN (NPI# 1083247225) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083247225 |
| Entity Type | Individual |
| Full Name | KEVIN PHAN |
| Practice Address |
6516 Broadway St Suite 112 Pearland TX 77581-7880 |
| Practice Telephone | 3039898169 |
| Enumeration Date | 2020-02-17 |
| Last Update Date | 2020-02-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164065959 | Kevin Gia-minh Phan | Optometrist | Walla Walla Vamc Bldg 86, Walla Walla, WA 99362 | 2019-10-24 |
| 1629586706 | Kevin Phan | Student in an Organized Health Care Education/Training Program | 9800 Vesper Ave Unit 142, Panorama City, CA 91402-1093 | 2018-01-11 |
| 1174907273 | Kevin Phan | Optometrist | 165 East 87th St 1rw, New York, CA 10128 | 2015-07-17 |
| 1013335785 | Kevin Phan | Student in an Organized Health Care Education/Training Program | 504 N Forbes Ave, Montebello, CA 90640-3732 | 2014-03-31 |
| 1922238385 | Kevin Vu Phan | Dentist | 5530 W Grand Pkwy S, Suite 100, Richmond, TX 77406-5802 | 2009-07-20 |
| 1912079906 | Kevin Huy Phan | Chiropractor | 1820 Professional Dr Ste 2, Sacramento, CA 95825-2120 | 2006-11-14 |
| 1649807876 | Kevin Phan | Student in an Organized Health Care Education/Training Program | 276 International Cir, San Jose, CA 95119-1130 | 2020-03-26 |
| 1932740610 | Kevin Phan | Student in an Organized Health Care Education/Training Program | 12440 Firestone Blvd Ste 3020, Norwalk, CA 90650-9328 | 2019-10-03 |
| 1225532005 | Kevin Taiduc Phan | Behavior Technician | 1485 Saratoga Ave Ste 200, San Jose, CA 95129-4965 | 2018-03-19 |
| 1033539150 | Kevin Ht Phan | Orthopaedic Surgery | 1111 Leffingwell Ave Ne, Grand Rapids, MI 49525-6406 | 2014-04-17 |
| Street Address |
6516 BROADWAY ST SUITE 112 |
| City | PEARLAND |
| State | TX |
| Zip Code | 77581-7880 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124082888 | Total Renal Care Texas Limited Partnership | Clinic/Center | 6516 Broadway St, Ste 122, Pearland, TX 77581-7879 | 2006-04-12 |
| 1144827866 | Goldburn Samuels | Behavior Technician | 6516 Broadway St, Suite 112, Pearland, TX 77581-7880 | 2020-10-06 |
| 1871190595 | Michael Pham | Behavior Technician | 6516 Broadway St, Suite 112, Pearland, TX 77581-7880 | 2020-10-06 |
| 1942816566 | Alice Wong | Behavior Technician | 6516 Broadway St, Suite 112, Pearland, TX 77581-7880 | 2020-09-18 |
| 1578179198 | Yadira Cordova | Behavior Technician | 6516 Broadway St, Suite 112, Pearland, TX 77581-7880 | 2020-09-18 |
| 1104432723 | Deandre Linton | Behavior Technician | 6516 Broadway St, Suite 112, Pearland, TX 77581-7880 | 2020-09-18 |
| 1750996955 | Lisa Hoover | Behavior Technician | 6516 Broadway St, Suite 112, Pearland, TX 77581-7880 | 2020-09-14 |
| 1669087862 | Lauren Kingrea | Behavior Technician | 6516 Broadway St, Suite 112, Pearland, TX 77581-7880 | 2020-09-14 |
| 1013522218 | Kristen O'brien | Behavior Technician | 6516 Broadway St, Suite 112, Pearland, TX 77581-7880 | 2020-09-14 |
| 1194330399 | Emely Ayala | Behavior Technician | 6516 Broadway St, Suite 112, Pearland, TX 77581-7880 | 2020-09-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477171973 | Teledentist365 Foundation | Public Health or Welfare | 2111 Limrick Drive, Pearland, TX 77581 | 2020-07-10 |
| 1558984757 | Oculus Interest Vii, LLC | Optometrist | 2470 Pearland Pkwy, Pearland, TX 77581 | 2020-05-21 |
| 1285267591 | Rachel Daniels | Speech-Language Pathologist | 2011 E. Broadway, Ste. 130, Pearland, TX 77581 | 2020-02-14 |
| 1164054615 | Chau Minh Pho | Pharmacist | 3245 Fm518, Pearland, TX 77581 | 2020-02-12 |
| 1902460611 | Areli Dominguez | Behavior Technician | 6516 Broadway Street, Suite 112, Perland, TX 77581 | 2019-04-29 |
| 1700356359 | Rebekah Buck | Physical Therapist | 2011 E. Broadway Ste 130, Pearland, TX 77581 | 2018-11-27 |
| 1639676737 | Kjj Vision Pllc | Optometrist | 1816 Broadway St Ste 106, Pearland, TX 77581 | 2018-04-06 |
| 1386155398 | Tekisha Murphy | Nurse Practitioner | 2812 Afton Drive, Pearland, TX 77581 | 2017-10-17 |
| 1588181457 | Emily Hamm | Occupational Therapist | 211 E. Broadway, Ste. 130, Pearland, TX 77581 | 2017-08-23 |
| 1013437938 | Kristin Aulds | Dentist | 2708 Pearland Parkway, Ste 220, Pearland, TX 77581 | 2017-06-21 |
| Find all providers in zip 77581 | ||||
| Taxonomy Code | 106S00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavior Technician |
| 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. |
| Notes: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861099988 | Tatyana Sosoo | Behavior Technician | 1799 Kirby Dr, Pearland, TX 77584-5607 | 2020-10-01 |
| 1346853124 | Brandon Chatman | Behavior Technician | 1799 Kirby Dr Ste 110, Pearland, TX 77584-5624 | 2020-08-31 |
| 1467089698 | Christen Minter | Behavior Technician | 2913 Old Chocolate Bayou Rd Ste A, Pearland, TX 77584-8996 | 2020-03-26 |
| 1376179580 | Fernanda Vallejo | Behavior Technician | 2913 Old Chocolate Bayou Rd, Pearland, TX 77584-8996 | 2020-03-19 |
| 1982230181 | Kristen James | Behavior Technician | 2913 Old Chocolate Bayou Rd # A, Pearland, TX 77584-8996 | 2020-03-19 |
| 1033684527 | Laura Villarreal II | Behavior Technician | 6516 Broadway St Ste 1126516w, Pearland, TX 77581-7880 | 2018-10-10 |
| 1245712553 | Heather Brown | Behavior Technician | 4009 E Cedar Trail Ct, Pearland, TX 77584-1736 | 2018-09-04 |
| 1508343898 | Hailey Nicole Homeyer | Behavior Technician | 2414 County Rd 90, Pearland, TX 77584 | 2018-07-19 |
| 1679064398 | Vannessa Garcia | Behavior Technician | 6516 Broadway St # St112, Pearland, TX 77581-7880 | 2018-05-29 |
| 1144827866 | Goldburn Samuels | Behavior Technician | 6516 Broadway St, Suite 112, Pearland, TX 77581-7880 | 2020-10-06 |
| Find all providers in PEARLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.