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

Jenrick Tan

Individual provider Behavior Analyst · NPI 1124914601

Jenrick Tan is a Behavior Analyst in San Leandro, California. Practices as a sole proprietor. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

14712 Pepperdine St
San Leandro, CA 94579-1161
Phone: (510) 701-6057
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X

Record details

NPI number1124914601
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 13, 2025
Last updated in NPPESJune 13, 2025
Certification dateJune 13, 2025
Mailing address14712 Pepperdine St, San Leandro, CA 94579-1161

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