KEVIN PHAM
NPI 1083170476
Behavior Technician in Garden Grove, CA

Active since February 11, 2019
12465 LEWIS ST STE 102, GARDEN GROVE, CA 92840(855) 223-7123 Get Directions Write a Review

NPPES record last updated: May 12, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 12, 2024, Apr 28, 2024, Feb 11, 2019 (3 updates tracked since 2019).

About Kevin Pham NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEVIN PHAM (NPI 1083170476) is an individual behavior technician in Garden Grove, California and active in the NPI registry since February 2019. He maintains a secondary practice location in Irvine.

NPPES Registry Identity

NPI1083170476
Entity TypeIndividualMale
Primary Taxonomy106S00000X
Provider Legal NameKEVIN PHAM
Location Address12465 LEWIS ST STE 102Garden Grove, CA 92840-4658
Mailing AddressPo Box 33568San Diego, CA 92163-3568 · (855) 223-7123
Sole ProprietorNo
Enumeration DateFebruary 11, 2019
Last NPPES UpdateMay 12, 20243 updates tracked since enumeration
NPPES CertifiedMay 12, 2024
NPI 1083170476 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyBehavior TechnicianBehavioral Health & Social Service Providers
Taxonomy Code106S00000X
Definition
The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.
12465 LEWIS ST STE 102, Garden Grove, CA 92840

Secondary Practice Location 1

Location 116782 Von Karman Ave Ste 11Irvine, CA 92606-2417 · Phone (949) 833-2237

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Behavior Technician
12465 LEWIS ST STE 102
GARDEN GROVE, CA 92840
Behavior Technician
12465 LEWIS ST STE 102
GARDEN GROVE, CA 92840
Behavior Technician
12465 LEWIS ST STE 102
GARDEN GROVE, CA 92840
Behavior Technician
12465 LEWIS ST STE 102
GARDEN GROVE, CA 92840
Behavior Technician
12465 LEWIS ST STE 102
GARDEN GROVE, CA 92840
Behavior Technician
12465 LEWIS ST STE 102
GARDEN GROVE, CA 92840
Behavior Technician
12465 LEWIS ST STE 102
GARDEN GROVE, CA 92840
Behavior Technician
12465 LEWIS ST STE 102
GARDEN GROVE, CA 92840

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kevin Pham's NPI number?

The NPI number for Kevin Pham is 1083170476. It was assigned to this individual provider in the NPPES registry on February 11, 2019.

Where is Kevin Pham located?

Kevin Pham practices at 12465 Lewis St Ste 102, Garden Grove, CA 92840. The listed phone number is (855) 223-7123.

What is Kevin Pham's specialty?

The primary specialty registered for this NPI is Behavior Technician with taxonomy code 106S00000X.

When was this NPI record last updated?

The NPPES record for Kevin Pham was last updated on May 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.