Ivy Phan
Ivy Phan is a Behavior Analyst in Fountain Valley, California. Practices as a sole proprietor. Registered with an NPI since 2025.
- In the registry since
- 2025
Practice location Address checks out
18730 Cordata StFountain Valley, CA 92708-6535
Phone: (714) 726-5668
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Specialties & licences
| Behavior Analyst (primary) | Taxonomy 103K00000X |
|---|
Record details
| NPI number | 1962209288 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | February 25, 2025 |
| Last updated in NPPES | February 25, 2025 |
| Certification date | February 25, 2025 |
| Mailing address | 18730 Cordata St, Fountain Valley, CA 92708-6535 |
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