Kelly Phan
Kelly Phan is a Behavior Technician in Newark, California. Licensed in California. Registered with an NPI since 2024.
- Licensed in
- CA
- In the registry since
- 2024
Practice location Address checks out
39899 Balentine Dr Ste 110Newark, CA 94560-5356
Phone: (510) 244-1145
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X · Licence 46-1305562 (CA) |
|---|
Record details
| NPI number | 1407609654 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | April 8, 2024 |
| Last updated in NPPES | September 23, 2026 |
| Certification date | September 23, 2026 |
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