Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Khamfong Phimmavong

Individual provider Behavior Technician · NPI 1649064049

Khamfong Phimmavong is a Behavior Technician in San Diego, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2025

Practice location Address checks out

6160 Cornerstone Ct E
San Diego, CA 92121-3720
Phone: (858) 304-6440
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X (CA)

Record details

NPI number1649064049
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 9, 2025
Last updated in NPPESApril 9, 2025
Certification dateApril 9, 2025

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