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

Jake Pederson

Individual provider Behavior Technician · NPI 1861170250

Jake Pederson is a Behavior Technician in Van Nuys, California. Licensed in California. Registered with an NPI since 2023.

Licensed in
CA
In the registry since
2023

Practice location Address checks out

16600 Sherman Way Ste 178
Van Nuys, CA 91406-3875
Phone: (818) 235-1414
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X (CA)

Record details

NPI number1861170250
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 6, 2023
Last updated in NPPESJuly 6, 2023
Certification dateJuly 6, 2023
Mailing address16600 Sherman Way Ste 178, Van Nuys, CA 91406-3875

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