Andrea Phonphiboun
Andrea Phonphiboun is a Behavior Technician in Gilroy, California. Practices as a sole proprietor. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
9720 Rancho Hills DrGilroy, CA 95020-8312
Phone: (510) 945-9239
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Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1548092505 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | August 19, 2024 |
| Last updated in NPPES | August 19, 2024 |
| Certification date | August 19, 2024 |
| Mailing address | 9720 Rancho Hills Dr, Gilroy, CA 95020-8312 |
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