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

Kristine T Phan, BCBA

Individual provider Behavior Analyst · NPI 1932699022

Kristine T Phan, BCBA is a Behavior Analyst in Lakewood, California. Licensed in California. Registered with an NPI since 2018.

Licensed in
CA
In the registry since
2018
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

5834 Adenmoor Ave
Lakewood, CA 90713-1002
Phone: (310) 310-2931
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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 1-18-30085 (CA)

Record details

NPI number1932699022
Entity typeIndividual (Type 1)
GenderFemale
Credentials BCBA
Sole proprietorNo
NPI enumeratedMay 14, 2018
Last updated in NPPESMay 14, 2018
Mailing address5834 Adenmoor Ave, Lakewood, CA 90713-1002

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