IndividualActive
Elisha Rose Pangan-Kennedy
NPI 1164305983 · Behavior Technician · Stockton, CA
Elisha Rose Pangan-Kennedy is a Behavior Technician provider in Stockton, CA (NPI 1164305983).
Provider details
- NPI number
- 1164305983
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Basic profile(48/100 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
6967 Fredericksburg Pl
Stockton, CA 95207-2431
Phone: (209) 639-6511
Street-level locationGet directions
Mailing address
1075 Creekside Ridge Dr Ste 280
Roseville, CA 95678-3504
Registry dates
- Enumerated
- 2025-07-29
- Last updated
- 2025-07-29
- Certified
- 2025-07-29
Frequently asked questions
- What is Elisha Rose Pangan-Kennedy's NPI number?
- Elisha Rose Pangan-Kennedy's National Provider Identifier (NPI) is 1164305983, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Elisha Rose Pangan-Kennedy's specialty?
- Elisha Rose Pangan-Kennedy is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Elisha Rose Pangan-Kennedy located?
- Elisha Rose Pangan-Kennedy's practice location on file with NPPES is 6967 Fredericksburg Pl, Stockton, CA 95207-2431.
- What is Elisha Rose Pangan-Kennedy's phone number?
- The practice phone number listed in the NPPES registry for Elisha Rose Pangan-Kennedy is (209) 639-6511.
- Is Elisha Rose Pangan-Kennedy's NPI active?
- Yes — Elisha Rose Pangan-Kennedy's NPI (1164305983) is active in the NPPES registry as of the last update on 2025-07-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.