Phara Tran
Behavior Technician in Sacramento, CA. Individual provider (NPI-1).
NPI number1164088217
StatusActive
Last updated in NPPESMay 14, 2019
Details
- NPI
- 1164088217
- Entity type
- Individual (NPI-1)
- Name
- Phara Tran
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 14, 2019
- Last updated
- May 14, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
1300 Ethan Way Ste 175Sacramento, CA 95825-2277
Phone 209-521-4791
Mailing address
3425 Coffee Rd Ste C2Modesto, CA 95355-1582
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