IndividualActive
Jaedan Keovongxay
NPI 1003786351 · Behavior Technician · Walnut Creek, CA
Jaedan Keovongxay is a Behavior Technician provider in Walnut Creek, CA (NPI 1003786351).
Provider details
- NPI number
- 1003786351
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Basic profile(47/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
800 S Broadway Ste 310
Walnut Creek, CA 94596-5218
Phone: (888) 531-8385
Street-level locationGet directions
Mailing address
1265 Inglewood Ct
Lodi, CA 95242-9128
Registry dates
- Enumerated
- 2025-11-10
- Last updated
- 2025-11-10
- Certified
- 2025-11-10
Frequently asked questions
- What is Jaedan Keovongxay's NPI number?
- Jaedan Keovongxay's National Provider Identifier (NPI) is 1003786351, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jaedan Keovongxay's specialty?
- Jaedan Keovongxay is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Jaedan Keovongxay located?
- Jaedan Keovongxay's practice location on file with NPPES is 800 S Broadway Ste 310, Walnut Creek, CA 94596-5218.
- What is Jaedan Keovongxay's phone number?
- The practice phone number listed in the NPPES registry for Jaedan Keovongxay is (888) 531-8385.
- Is Jaedan Keovongxay's NPI active?
- Yes — Jaedan Keovongxay's NPI (1003786351) is active in the NPPES registry as of the last update on 2025-11-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.