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

Kathy Phan

Individual provider Behavior Analyst · NPI 1043711807

Kathy Phan is a Behavior Analyst in San Mateo, California. Registered with an NPI since 2018.

In the registry since
2018

Practice location Address checks out

424 Peninsula Ave
San Mateo, CA 94401-1653
Phone: (650) 286-4396
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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 number1043711807
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 26, 2018
Last updated in NPPESFebruary 26, 2018
Mailing address89 Delta Grn, Fremont, CA 94538-5922

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