Individual provider · Type 1 NPI

Jessica Chan, MS.ED., BCBA

Behavior Analyst · Whitestone, NY

NPI number 1033707153 Active

Practice location

14820 9th Ave
Whitestone, NY 11357-1630

Mailing address

4917 170th St
Fresh Meadows, NY 11365-1012

Specialties and licenses

TaxonomyCodeLicense
Behavior Analyst Primary 103K00000XBACB526371

Behavior Analyst: 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…

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About NPI 1033707153

Jessica Chan, MS.ED., BCBA's National Provider Identifier is 1033707153, issued on Jan 5, 2021. The primary taxonomy on file is Behavior Analyst (103K00000X), and the practice location is in Whitestone, NY. The record was last updated on Oct 19, 2026.