Athena Phang

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-24-72919 Issued in CA

Practice address

16410 Bloomfield Ave
Cerritos, CA 90703-2144

Phone

(855) 223-7123

NPI assigned

Oct 5, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1538697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781740800000",
    "number": "1548735541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16782 VON KARMAN AVE STE 11",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926062417",
            "telephone_number": "855-223-7123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16410 BLOOMFIELD AVE",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907032144",
            "telephone_number": "855-223-7123"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1820 W Orangewood Ave Ste 110",
            "address_purpose": "LOCATION",
            "city": "Orange",
            "state": "CA",
            "postal_code": "928685056",
            "country_code": "US",
            "telephone_number": "714-696-2862",
            "fax_number": "714-242-9308",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHANG",
        "first_name": "ATHENA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-05",
        "last_updated": "2026-06-18",
        "certification_date": "2026-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-24-72919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jathaniel A Pettitt, LPCC
• Shawn Wright Pfendler, MHA
• Diep Ngoc Thi Pham
• Quy Pham, PMHNP
• Mary Nhung Hoai Phan
• Wan Yi Phang
• Pharmaceutical Delivery, Inc.
• Philip I Kress DMD a Professional Corporation
• Phoenix Optometry Group Inc
• Roger Timothy Alona Piedad, PMHNP-BC

• Behavior Analyst in Cerritos, CA
• Providers in Cerritos, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2026; 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.