Individual provider · Type 1 NPI

Irene Phan

Behavior Technician · San Jose, CA

NPI number 1316899784 Active

Practice location

2033 Gateway Pl Ste 614
San Jose, CA 95110-3709

Call (669) 205-1778 Map

Mailing address

100 N Pacific Coast Hwy Ste 1400
El Segundo, CA 90245-5602

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician Primary 106S00000XNone listed

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…

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About NPI 1316899784

Irene Phan's National Provider Identifier is 1316899784, issued on Feb 10, 2026. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in San Jose, CA. The record was last updated on Feb 10, 2026.