Anthony Wong Phan
Anthony Wong Phan is a Behavior Analyst in West Covina, California. Licensed in California. Registered with an NPI since 2021.
- Licensed in
- CA
- In the registry since
- 2021
Practice location Address checks out
835 W Christopher StWest Covina, CA 91790-3702
Phone: (626) 943-7772
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Specialties & licences
| Behavior Analyst (primary) | Taxonomy 103K00000X · Licence 1-21-54001 (CA) |
|---|
Record details
| NPI number | 1285390815 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | November 9, 2021 |
| Last updated in NPPES | November 9, 2021 |
| Certification date | November 9, 2021 |
| Mailing address | 9060 Huntington Dr, San Gabriel, CA 91775-1332 |
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835 W Christopher St, West Covina, CA 91790-3702 · (626) 943-7772