Jenrick Tan

Behavior Analyst · San Leandro, CA

Individual Active NPI

NPI number 1124914601

Practice location

14712 Pepperdine St
San Leandro, CA 94579-1161
Phone
(510) 701-6057

Open in Google Maps

NPI record

NPI
1124914601
Entity type
Individual (Type 1)
Enumeration date
June 13, 2025
Last updated
June 13, 2025
Certified
June 13, 2025
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Analyst Primary 103K00000X — —

About Jenrick Tan

Jenrick Tan is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Analyst (code 103K00000X). The practice location is 14712 Pepperdine St, San Leandro, CA 94579-1161. The NPI number 1124914601 was assigned on June 13, 2025 and the record was last updated on June 13, 2025.

Frequently asked questions

What is the NPI number of Jenrick Tan?

The NPI number is 1124914601.

What is the phone number of Jenrick Tan?

The phone number listed for the practice location is (510) 701-6057.

Where is Jenrick Tan located?

14712 Pepperdine St, San Leandro, CA 94579-1161.

What is the taxonomy code for Jenrick Tan?

The primary taxonomy code is 103K00000X – Behavior Analyst.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Behavior Analyst providers in San Leandro

All Behavior Analyst providers in San Leandro, CA →