Jenny Lynn Galamaga Pan, BCBA, LBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

7401000363 Issued in MI

Practice address

53869 Connor Dr
Chesterfield, MI 48051-3930

Phone

(586) 209-3683

NPI assigned

Jun 5, 2009

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other names 1

• Jenny Lynn Galamaga Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pathways to Potential

  • Behavior Analyst
  • Chesterfield, MI
  • NPI 1174385942
  NPD Authorized official
• Quartet Behavioral Spectrum Services

  • Behavior Analyst
  • Whitestone, NY
  • NPI 1225649106
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1244160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737504000000",
    "number": "1124254057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53869 CONNOR DR.",
            "city": "CHESTERFIELD",
            "state": "MI",
            "postal_code": "48051",
            "telephone_number": "773-241-4009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53869 CONNOR DR",
            "city": "CHESTERFIELD",
            "state": "MI",
            "postal_code": "480513930",
            "telephone_number": "586-209-3683"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "168 N Johnston St Ste 305",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "GA",
            "postal_code": "301324741",
            "country_code": "US",
            "telephone_number": "877-498-0319",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1319 N Galena Ave",
            "address_purpose": "LOCATION",
            "city": "Dixon",
            "state": "IL",
            "postal_code": "610211009",
            "country_code": "US",
            "telephone_number": "815-440-6134",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1408B Clintonville St",
            "address_purpose": "LOCATION",
            "city": "Whitestone",
            "state": "NY",
            "postal_code": "113571861",
            "country_code": "US",
            "telephone_number": "516-780-0770",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1900 E Golf Rd Ste 950",
            "address_purpose": "LOCATION",
            "city": "Schaumburg",
            "state": "IL",
            "postal_code": "601735034",
            "country_code": "US",
            "telephone_number": "773-945-6826",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAN",
        "first_name": "JENNY",
        "middle_name": "LYNN GALAMAGA",
        "credential": "BCBA, LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-05",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NY",
            "license": "003661",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MI",
            "license": "7401000363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNY",
            "last_name": "GALAMAGA",
            "middle_name": "LYNN",
            "credential": "BCBA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Antoine Deshawn Paige
• Cortney Paige
• Shantel Paige
• Sujini Palaniswamy, M.D.
• Shakela Monique Palmer
• Taniesha Pandolfe
• Grace Rybicki Pantoja, BCBA
• Paul Dominic Paonessa, MD
• Carlton Papillion
• Eva Paratore

• Behavior Analyst in Chesterfield, MI
• Providers in Chesterfield, MI by specialty
• Behavior Analyst in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.