KYLAN PHUONG (NPI# 1780175067) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780175067 |
| Entity Type | Individual |
| Full Name | KYLAN PHUONG |
| Credential | BEHAVIOR TECHNICIAN |
| Practice Address |
11037 Warner Ave # 339 Fountain Valley CA 92708-4007 |
| Practice Telephone | 8027344292 |
| Practice Fax Number | 8882933374 |
| Mailing Telephone | 8027344292 |
| Mailing Fax Number | 7145966274 |
| Enumeration Date | 2018-05-23 |
| Last Update Date | 2018-05-23 |
| 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 |
| Street Address |
11037 WARNER AVE # 339 |
| City | FOUNTAIN VALLEY |
| State | CA |
| Zip Code | 92708-4007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740539659 | Quynh Nguyen | Behavioral Analyst | 11037 Warner Ave # 339, Fountain Valley, CA 92708-4007 | 2012-09-06 |
| 1174004717 | Annie Thuyan Tram | Behavior Technician | 11037 Warner Ave # 339, Fountain Valley, CA 92708-4007 | 2018-08-22 |
| 1801376694 | Teresa Lynn Ford | Behavior Technician | 11037 Warner Ave # 339, Fountain Valley, CA 92708-4007 | 2018-08-21 |
| 1730669615 | Kevin Minh Vuong | Behavior Technician | 11037 Warner Ave # 339, Fountain Valley, CA 92708-4007 | 2018-08-20 |
| 1538649702 | Paul Nguyen | Behavior Technician | 11037 Warner Ave # 339, Fountain Valley, CA 92708-4007 | 2018-08-17 |
| 1588158265 | Marie Alyce Medeck | Behavior Technician | 11037 Warner Ave # 339, Fountain Valley, CA 92708-4007 | 2018-06-18 |
| 1487144416 | Tammy Nguyen Ong | Technician, Other | 11037 Warner Ave # 339, Fountain Valley, CA 92708-4007 | 2018-05-15 |
| 1215439773 | Ian O Bishop | Technician, Other | 11037 Warner Ave # 339, Fountain Valley, CA 92708-4007 | 2018-03-01 |
| 1578064762 | Courtney Leimomi Chang Wo | Technician, Other | 11037 Warner Ave # 339, Fountain Valley, CA 92708-4007 | 2018-02-23 |
| 1871094904 | Alyssa Nicole Woolley | Technician, Other | 11037 Warner Ave # 339, Fountain Valley, CA 92708-4007 | 2018-02-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932716222 | Changing Directions Psychological Corporation | Psychologist | 17280 Newhope Street, Suite 4, Fountain Valley, CA 92708 | 2020-09-30 |
| 1124632757 | Neck & Back Pain Specialists, A Balta Chiropractic Corporation | Chiropractor | 10231 Slater Ave. #113, Fountain Valley, CA 92708 | 2020-09-01 |
| 1295205425 | Alexander Nee Dds Inc | Dentist | 337 S Rancho Santa Fe Rd, San Marcos, CA 92708 | 2018-11-30 |
| 1093293052 | Claudia Raquel Santos | Physical Therapist | 18384 Brookhurst Street, Fountain Valley, CA 92708 | 2018-08-01 |
| 1659864338 | Orange County Respiratory Physicians Corp | Internal Medicine | 18111 Brookhurst St Ste 4600, Fountain Valley, CA 92708 | 2018-06-07 |
| 1992297881 | Ereny Abdelmalak Metry | Pharmacist | 9064 Daffodil Ave, Fountain Valley, CA 92708 | 2018-06-06 |
| 1144746348 | Goose Pharma, LLC | Pharmacy | 18049 Magnolia Street, Fountain Valley, CA 92708 | 2017-08-18 |
| 1932622347 | Mayra Alejandra Guerra | Social Worker | 18350 Mt Langley St, Suite 200, Fountain Valley, CA 92708 | 2017-07-18 |
| 1942722129 | Graph Surgery Inc | Plastic Surgery | 10760 Warner Ave, Ste 201, Fountain Valley, CA 92708 | 2017-07-10 |
| 1871022277 | Cathy A Castagna-petersen | Counselor | 10529 Slater Avenue, Fountain Valley, CA 92708 | 2017-06-08 |
| Find all providers in zip 92708 | ||||
| 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 |
|---|---|---|---|---|
| 1740747658 | Yadira Cervantes | Behavior Technician | 9220 Mallard Ave, Fountain Valley, CA 92708-6424 | 2019-02-27 |
| 1740880970 | Jerrel S Cortel | Behavior Technician | 17284 Newhope St Ste 212, Fountain Valley, CA 92708-8201 | 2020-10-27 |
| 1386244515 | Sharla J Chan | Behavior Technician | 17284 Newhope St Ste 212, Fountain Valley, CA 92708-8201 | 2020-10-27 |
| 1245837780 | Amy T Tran | Behavior Technician | 17284 Newhope St Ste 212, Fountain Valley, CA 92708-8201 | 2020-10-07 |
| 1780299347 | Lilia Halitov | Behavior Technician | 17284 Newhope St Ste 212, Fountain Valley, CA 92708-8201 | 2020-09-10 |
| 1669082822 | Galilea Espejo | Behavior Technician | 17284 Newhope St Ste 212, Fountain Valley, CA 92708-8201 | 2020-08-03 |
| 1871103036 | Alyssa J Hanson | Behavior Technician | 17284 Newhope St Ste 212, Fountain Valley, CA 92708-8201 | 2020-08-03 |
| 1710597968 | Jennifer T Lam | Behavior Technician | 17284 Newhope St Ste 212, Fountain Valley, CA 92708-8201 | 2020-08-03 |
| 1992323737 | Aracely Torres | Behavior Technician | 17284 Newhope St Ste 212, Fountain Valley, CA 92708-8201 | 2020-07-08 |
| 1972125961 | Daniel T Luong | Behavior Technician | 17284 Newhope St Ste 212, Fountain Valley, CA 92708-8201 | 2020-05-12 |
| Find all providers in FOUNTAIN VALLEY | ||||
| City | FOUNTAIN VALLEY |
| Zip Code | 92708 |
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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.