What is Jake Pederson's NPI number?

Jake Pederson's National Provider Identifier (NPI) is 1861170250, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Jake Pederson's specialty?

Jake Pederson is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).

Where is Jake Pederson located?

Jake Pederson's practice location on file with NPPES is 16600 Sherman Way Ste 178, Van Nuys, CA 91406-3875.

What is Jake Pederson's phone number?

The practice phone number listed in the NPPES registry for Jake Pederson is (818) 235-1414.

Is Jake Pederson's NPI active?

Yes — Jake Pederson's NPI (1861170250) is active in the NPPES registry as of the last update on 2023-07-06.

IndividualActive

Jake Pederson

NPI 1861170250 · Behavior Technician · Van Nuys, CA

Jake Pederson is a Behavior Technician provider in Van Nuys, CA (NPI 1861170250).

Provider details

NPI number: 1861170250
Entity type: Individual
Primary specialty: Behavior TechnicianBehavioral Health & Social Service Providers
Sex: Male
Sole proprietor: No

Specialties & taxonomies

Behavior TechnicianPrimary106S00000X
Behavioral Health & Social Service Providers

Profile Score

Established profile(52/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
2 yrs in NPPES registry
Profile completeness38% of score
83% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

16600 Sherman Way Ste 178

Van Nuys, CA 91406-3875

Phone: (818) 235-1414

Street-level locationGet directions

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Mailing address