Asia Phommathep
Asia Phommathep is a Behavior Technician in Mequon, Wisconsin. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
10400 N Baehr RdMequon, WI 53092-4472
Phone: (833) 646-3222
Fax: (833) 646-3222
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Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1194426858 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | March 10, 2023 |
| Last updated in NPPES | March 10, 2023 |
| Certification date | March 10, 2023 |
| Mailing address | 224 W 35th St Ste 500, New York, NY 10001-2538 |
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Tabin Perez
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Madison Post
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10400 N Baehr Rd, Mequon, WI 53092-4472 · (833) 646-3222
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10400 N Baehr Rd, Mequon, WI 53092-4472 · (833) 646-3222