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

Tina Phan

Individual provider Behavior Analyst · NPI 1962242743

Tina Phan is a Behavior Analyst in Campbell, California. Licensed in California. Registered with an NPI since 2024.

Licensed in
CA
In the registry since
2024

Practice location Address checks out

577 Salmar Ave
Campbell, CA 95008-1453
Phone: (669) 242-5090
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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 1-25-80555 (CA)

Record details

NPI number1962242743
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 29, 2024
Last updated in NPPESSeptember 12, 2025
Certification dateSeptember 12, 2025
Mailing address577 Salmar Ave, Campbell, CA 95008-1453

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