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

Individual provider Behavior Analyst · NPI 1033707153

Jessica Chan, MSED, BCBA is a Behavior Analyst in Fresh Meadows, New York. Practices as a sole proprietor. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
BCBA — Board Certified Behavior Analyst
Designs and supervises applied behaviour analysis programmes, often for autism.

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Practice location Address checks out

4917 170th St
Fresh Meadows, NY 11365-1012
Phone: (646) 549-6291
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X · Licence BACB526371

Record details

NPI number1033707153
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSED , BCBA
Sole proprietorYes
NPI enumeratedJanuary 5, 2021
Last updated in NPPESApril 26, 2021
Certification dateApril 26, 2021

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