Suzie Pham
Behavior Technician in Lakewood, CO. Individual provider (NPI-1).
NPI number1710691779
StatusActive
Last updated in NPPESJan 12, 2023
Details
- NPI
- 1710691779
- Entity type
- Individual (NPI-1)
- Name
- Suzie Pham
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 12, 2023
- Certification date
- Jan 12, 2023
- Last updated
- Jan 12, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | CO | Yes |
Practice location
7220 W Jefferson Ave Ste 100Lakewood, CO 80235-2015
Phone 303-225-7673
Mailing address
1410 S Tejon StDenver, CO 80223-3317
Phone 720-381-8482
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