Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Jenny Lynn Galamaga Pan , BCBA, LBA

Behavior Analyst β€’ Chesterfield, MI

Active NPI 1124254057 Individual Practitioner Female Practitioner
Practice location in NPPES

53869 Connor Dr
Chesterfield, MI 480513930

Call 5862093683 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

53869 Connor Dr

Chesterfield, MI 480513930

Telephone 5862093683
Organization at the Same NPPES Address or Phone
Pathways To Potential Facility NPI 1174385942

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 4 distinct additional practice-address records in Dallas, GA; Dixon, IL; Schaumburg, IL and 1 more. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2009

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Chesterfield and Michigan

26 active clinicians are listed under Behavior Analyst with a practice address in Chesterfield, MI (3,195 in Michigan).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Chesterfield

0% of these 26 clinicians have the CMS telehealth indicator.

0% of these 26 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-01-22
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

License # reported to NPPES MI 7401000363

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Behavior Analyst

NUCC Taxonomy Code: 103K00000X

License # reported to NPPES NY 003661

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Behavior Analyst

NUCC Taxonomy Code: 103K00000X

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Michigan Department of Licensing and Regulatory Affairs.
Look Up on State Board Site

Secondary Practice Locations

1319 N Galena Ave

Dixon, IL 610211009

Phone: 8154406134

168 N Johnston St Ste 305

Dallas, GA 301324741

Phone: 8774980319

1900 E Golf Rd Ste 950

Schaumburg, IL 601735034

Phone: 7739456826

1408b Clintonville St

Whitestone, NY 113571861

Phone: 5167800770

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

12 Historical Events
πŸ“
Updated Practice Location January 22, 2025

Registered at 53869 CONNOR DR, CHESTERFIELD, MI 480513930 (Tel: 5862093683)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 22, 2025

Behavior Analyst (license number reported to NPPES: NY 003661)

πŸ“
Updated Practice Location October 16, 2023

Registered at 484 W. BOUGHTON AVE, SUITE C, BOLINGBROOK, IL 60440 (Tel: 7732414009)

πŸ“
Updated Business Mailing Address October 16, 2023

Registered at 53869 CONNOR DR., CHESTERFIELD, MI 48051 (Tel: 7732414009)

πŸ‘€
Provider Name / Credentials Updated October 16, 2023

Recorded as JENNY PAN, BCBA, LBA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 16, 2023

Behavior Analyst (license number reported to NPPES: MI 7401000363)

βœ…
NPI Profile Active June 05, 2009

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 05, 2009

Registered at 4105 N DAMEN AVE, APT 320, CHICAGO, IL 606183049 (Tel: 7732414009)

πŸ“
Business Mailing Address (Initial Record) June 05, 2009

Registered at 4105 N DAMEN AVE, APT. 320, CHICAGO, IL 606183049 (Tel: 7732414009)

πŸ‘€
Provider Name / Credentials (Initial Record) June 05, 2009

Recorded as JENNY GALAMAGA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 05, 2009

Behavior Analyst

🟒
Initial NPI Registration & Enumeration June 05, 2009

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1124254057
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 05, 2009
Last Update: January 22, 2025
Sole Proprietor: No

Mailing Address

53869 Connor Dr.

Chesterfield, MI 48051

Phone: 7732414009

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.