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

Individual provider Behavior Technician · NPI 1215547906

Marydang Phanixay is a Behavior Technician in Emeryville, California. Registered with an NPI since 2020.

In the registry since
2020
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Practice location Address checks out

2354 Powell St Ste A-1
Emeryville, CA 94608-1738
Phone: (877) 242-2884
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1215547906
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 6, 2020
Last updated in NPPESAugust 6, 2020
Certification dateAugust 6, 2020

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