Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jacqueline Van Pham

Individual provider Behavior Technician · NPI 1164228490

Jacqueline Van Pham is a Behavior Technician in Santa Monica, California. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

613 Ocean Park Blvd
Santa Monica, CA 90405-3713
Phone: (206) 841-6561
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1164228490
Entity typeIndividual (Type 1)
GenderNot disclosed
Sole proprietorNo
NPI enumeratedFebruary 19, 2025
Last updated in NPPESFebruary 19, 2025
Certification dateFebruary 19, 2025

Other providers in Santa Monica