KRISTIE PHAM
NPI 1154880805
Behavior Analyst in Garden Grove, CA

Q: What is Kristie Pham's NPI number?

The NPI number for Kristie Pham is 1154880805. It was assigned to this individual provider in the NPPES registry on March 12, 2019.

Q: What is Kristie Pham's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

Q: When was this NPI record last updated?

The NPPES record for Kristie Pham was last updated on June 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since March 12, 2019

12395 LEWIS ST STE 202, GARDEN GROVE, CA 92840(714) 867-6384 Get Directions Write a Review

NPPES record last updated: June 11, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 11, 2019, Mar 12, 2019 (2 updates tracked since 2019).

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About Kristie Pham NPPES

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

KRISTIE PHAM (NPI 1154880805) is an individual behavior analyst provider in Garden Grove, California and active in the NPI registry since March 2019.

NPPES Registry Identity

NPI1154880805

Entity TypeIndividualFemale

Primary Taxonomy103K00000X

Provider Legal NameKRISTIE PHAM

Location Address12395 LEWIS ST STE 202Garden Grove, CA 92840-4694

Mailing Address5109 W 7th StSanta Ana, CA 92703-2528 · (714) 414-7504

Phone(714) 867-6384

Sole ProprietorYes

Enumeration DateMarch 12, 2019

Last NPPES UpdateJune 11, 20192 updates tracked since enumeration

✔ NPI 1154880805 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers

Taxonomy Code103K00000X

Definition

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.

12395 LEWIS ST STE 202, Garden Grove, CA 92840

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.

MAGGIE BABOOMIAN

Behavior Analyst