Mandy Pham
Behavior Technician in Dana Point, CA. Individual provider (NPI-1).
NPI number1669930871
StatusActive
Last updated in NPPESMar 6, 2019
Details
- NPI
- 1669930871
- Entity type
- Individual (NPI-1)
- Name
- Mandy Pham
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 6, 2019
- Last updated
- Mar 6, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
32565 Golden Lantern Suite B #180Dana Point, CA 92629
Phone 714-552-1317
Mailing address
32565 Golden Lantern Suite B #180Dana Point, CA 92629
Phone 714-552-1317
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All 31 Behavior Technician providers in Dana Point · All 482 providers in Dana Point
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