Active NPI
Jessica Tien Tran
- Behavior Technician
- Pomona, CA
National Provider Identifier
1861018392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 801 Corporate Center Dr Ste 210
Pomona, CA 91768-2627 - Phone
- (909) 634-3974
- NPI assigned
- Jun 20, 2020
- Reactivated
- Oct 26, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | CA | Primary |
Addresses
Primary practice location
801 Corporate Center Dr Ste 210
Pomona, CA 91768-2627
Mailing address
12521 Kathy LN
Garden Grove, CA 92840-5603
Phone (714) 722-5690
Other names 1
- Thuy Tien Thanh Tran
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| ABA Basics, Inc. | Behavior Technician | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684108800000",
"number": "1861018392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12521 KATHY LN",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928405603",
"telephone_number": "714-722-5690"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 CORPORATE CENTER DR STE 210",
"city": "POMONA",
"state": "CA",
"postal_code": "917682627",
"telephone_number": "909-634-3974"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAN",
"first_name": "JESSICA",
"middle_name": "TIEN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-06-20",
"last_updated": "2023-05-15",
"certification_date": "2023-05-15",
"deactivation_date": "2021-11-01",
"reactivation_date": "2022-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "THUY TIEN",
"last_name": "TRAN",
"middle_name": "THANH",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Pomona, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.