JACQUELINE VAN PHAM
NPI 1164228490
Behavior Technician in Santa Monica, CA

Active since February 19, 2025
613 OCEAN PARK BLVD, SANTA MONICA, CA 90405(206) 841-6561 Get Directions Write a Review

NPPES record last updated: February 19, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jacqueline Van Pham NPPES

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

JACQUELINE VAN PHAM (NPI 1164228490) is an individual behavior technician in Santa Monica, California and active in the NPI registry since February 2025.

NPPES Registry Identity

NPI1164228490
Entity TypeIndividual
Primary Taxonomy106S00000X
Provider Legal NameJACQUELINE VAN PHAM
Location Address613 OCEAN PARK BLVDSanta Monica, CA 90405-3713
Mailing Address3980 Wilshire Blvd Apt 222Los Angeles, CA 90010-4214
Sole ProprietorNo
Enumeration DateFebruary 19, 2025
NPPES CertifiedFebruary 19, 2025
NPI 1164228490 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.
613 OCEAN PARK BLVD, Santa Monica, CA 90405

Other Providers at the Same Location NPPES 10

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

Behavior Technician
613 OCEAN PARK BLVD
SANTA MONICA, CA 90405
Behavior Technician
613 OCEAN PARK BLVD
SANTA MONICA, CA 90405
Behavior Technician
613 OCEAN PARK BLVD
SANTA MONICA, CA 90405
Behavior Technician
613 OCEAN PARK BLVD
SANTA MONICA, CA 90405
Behavior Technician
613 OCEAN PARK BLVD
SANTA MONICA, CA 90405
Behavior Technician
613 OCEAN PARK BLVD
SANTA MONICA, CA 90405
Behavior Technician
613 OCEAN PARK BLVD
SANTA MONICA, CA 90405
Behavior Technician
613 OCEAN PARK BLVD
SANTA MONICA, CA 90405

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 Jacqueline Pham's NPI number?

The NPI number for Jacqueline Pham is 1164228490. It was assigned to this individual provider in the NPPES registry on February 19, 2025.

Where is Jacqueline Pham located?

Jacqueline Pham practices at 613 Ocean Park Blvd, Santa Monica, CA 90405. The listed phone number is (206) 841-6561.

What is Jacqueline 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 Jacqueline Pham was last updated on February 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.