Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jaedan Keovongxay

Individual provider Behavior Technician · NPI 1003786351

Jaedan Keovongxay is a Behavior Technician in Walnut Creek, California. Licensed in California. Registered with an NPI since 2025.

Licensed in
CA
In the registry since
2025

Practice location Address checks out

800 S Broadway Ste 310
Walnut Creek, CA 94596-5218
Phone: (888) 531-8385
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X (CA)

Record details

NPI number1003786351
Entity typeIndividual (Type 1)
GenderNot disclosed
Sole proprietorNo
NPI enumeratedNovember 10, 2025
Last updated in NPPESNovember 10, 2025
Certification dateNovember 10, 2025

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