IndividualActive
Jackie Phan
NPI 1316606452 · Behavior Technician · Riverside, CA
Jackie Phan is a Behavior Technician provider in Riverside, CA (NPI 1316606452).
Provider details
- NPI number
- 1316606452
- 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
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES 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
2155 Chicago Ave Ste 203
Riverside, CA 92507-2209
Phone: (951) 357-6926
Fax: (855) 568-2494
Street-level locationGet directions
Mailing address
18726 S Western Ave Ste 408
Gardena, CA 90248-3858
Registry dates
- Enumerated
- 2021-12-16
- Last updated
- 2021-12-16
- Certified
- 2021-12-15
Frequently asked questions
- What is Jackie Phan's NPI number?
- Jackie Phan's National Provider Identifier (NPI) is 1316606452, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jackie Phan's specialty?
- Jackie Phan is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Jackie Phan located?
- Jackie Phan's practice location on file with NPPES is 2155 Chicago Ave Ste 203, Riverside, CA 92507-2209.
- What is Jackie Phan's phone number?
- The practice phone number listed in the NPPES registry for Jackie Phan is (951) 357-6926.
- Is Jackie Phan's NPI active?
- Yes — Jackie Phan's NPI (1316606452) is active in the NPPES registry as of the last update on 2021-12-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.