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

Mr. Kevin Taiduc Phan

Individual provider Behavior Technician · NPI 1225532005

Mr. Kevin Taiduc Phan is a Behavior Technician in San Jose, California. Practices as a sole proprietor. Registered with an NPI since 2018.

In the registry since
2018
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Practice location Address checks out

1485 Saratoga Ave Ste 200
San Jose, CA 95129-4965
Phone: (877) 991-0009
Fax: (877) 207-9553
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1225532005
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 19, 2018
Last updated in NPPESMarch 19, 2018

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