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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JENRICK TAN

Active Sole Proprietor

JENRICK TAN is a Behavior Analyst healthcare provider located in SAN LEANDRO, California. NPI 1124914601 is currently active in the NPPES registry. Verify at CMS.

Behavior Analyst · SAN LEANDRO, CA

Registration Details

NPI Number
1124914601
Provider Type
Individual
Gender
Male
NPI Issued
Jun 13, 2025 (1.1596685520261 yrs)
Last Updated
Jun 13, 2025
Sole Proprietor
Yes

Practice Information

Address
14712 PEPPERDINE ST
SAN LEANDRO, CA, 945791161
Browse CA providers · Browse ZIP 94579
Phone
5107016057
Primary Specialty
Behavior Analyst
103K00000X

Other Behavior Analyst Providers in SAN LEANDRO, CA

Name Credential NPI
DR. WEIHE HUANG PH.D., RH.D. 1720394968
EMILE MARTIN PALLEY 1437457199
MRS. PAMELA WAI YATA BCBA 1497019988
HEIDI OKAMOTO B.C.B.A. 1962758318
AMY MASLUK 1093069247
FITHAWI KUDUS 1043608664
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.