Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1235546979 Individual Practitioner Female Practitioner

Phong Pham , BCBA

Behavior Analyst • Cambridge, MA

Professional Overview & Biography Verified Profile Summary

Phong Pham, BCBA is a registered healthcare professional specializing in Behavior Analyst in Cambridge, MA. Practice services are available at 125 CAMBRIDGEPARK DR STE 301 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

125 Cambridgepark Dr Ste 301

Cambridge, MA 021402392

Telephone 8579194493
Associated Practice Facility / Clinic
🏢 Sylvain Counseling Services Facility NPI 1386155851

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Cambridge, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 7.3 Yrs
Regional Practice Density
12 Specialists

Practicing in Cambridge, MA (4758 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-01-11
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

State License MA 1617

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.

Secondary Practice Locations

50 Paul Revere Rd

Lexington, MA 024216635

Phone: 8579194493

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Carolyne Mburu-Gerena , PMHNP-BC

Nurse Practitioner - Psychiatric/Mental Health

NPI 1376085548

Psychiatric-Mental Health Nurse Practitioner (Board Certified)

NPI 1407197759

Doctor of Naturopathic Medicine

Victoria Carver

Counselor - Mental Health

NPI 1639923964
Jessica Delio-Guirand , LADC1

Counselor - Mental Health

NPI 1740652783
Dr. Catline Jacques , MD

Psychiatry & Neurology - Psychiatry

NPI 1760703391

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

16 Historical Events
📍
Updated Practice Location January 11, 2023

Registered at 125 CAMBRIDGEPARK DR STE 301, CAMBRIDGE, MA 021402392 (Tel: 8579194493)

📍
Updated Business Mailing Address January 11, 2023

Registered at 125 CAMBRIDGEPARK DR STE 301, CAMBRIDGE, MA 021402392 (Tel: 8579194493)

📍
Updated Practice Location September 10, 2020

Registered at 50 PAUL REVERE RD, LEXINGTON, MA 024216635 (Tel: 8579194493)

📍
Updated Business Mailing Address September 10, 2020

Registered at PO BOX 545, LEXINGTON, MA 02420 (Tel: 8579194493)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 10, 2020

Behavior Analyst (License #1617 in MA)

NPI Profile Active January 20, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location January 20, 2017

Registered at 303 WYMAN ST, SUITE 300, WALTHAM, MA 024511208 (Tel: 8579194493)

📍
Updated Business Mailing Address January 20, 2017

Registered at 303 WYMAN ST, SUITE 300, WALTHAM, MA 024511208 (Tel: 8579194493)

👤
Provider Name / Credentials Updated January 20, 2017

Recorded as PHONG PHAM, BCBA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 20, 2017

Community Health Worker

NPI Profile Active July 15, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location July 15, 2014

Registered at 50 REDFIELD ST, DORCHESTER, MA 021223630 (Tel: 6172887450)

📍
Updated Business Mailing Address July 15, 2014

Registered at 50 REDFIELD ST, DORCHESTER, MA 021223630 (Tel: 6172887450)

👤
Provider Name / Credentials Updated July 15, 2014

Recorded as PHONG PHAM

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 15, 2014

Community Health Worker

🟢
Initial NPI Registration & Enumeration July 15, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1235546979
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 15, 2014
Last Update: January 11, 2023
Sole Proprietor: No

Mailing Address

125 Cambridgepark Dr Ste 301

Cambridge, MA 021402392

Phone: 8579194493

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.