Individual provider · Type 1 NPI

Jacqueline Van Pham

Behavior Technician · Santa Monica, CA

NPI number 1164228490 Active

Practice location

613 Ocean Park Blvd
Santa Monica, CA 90405-3713

Mailing address

3980 Wilshire Blvd Apt 222
Los Angeles, CA 90010-4214

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician Primary 106S00000XNone listed

Behavior Technician: 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…

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About NPI 1164228490

Jacqueline Van Pham's National Provider Identifier is 1164228490, issued on Feb 19, 2025. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in Santa Monica, CA. The record was last updated on Feb 19, 2025.