Mr. Anthony Phan
Mr. Anthony Phan is a Behavior Technician in Maitland, Florida. Practices as a sole proprietor. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
601 S Lake Destiny Rd Ste 350Maitland, FL 32751-7222
Phone: (407) 647-6555
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Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1851000517 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | November 21, 2022 |
| Last updated in NPPES | November 21, 2022 |
| Certification date | November 21, 2022 |
| Mailing address | 16561 Corner Lake Dr, Orlando, FL 32820-1957 |
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Lauran Elaine Palmer
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601 S Lake Destiny Rd Ste 350, Maitland, FL 32751-7222 · (407) 647-6555
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2700 Westhall Ln Ste 150, Maitland, FL 32751-7476 · (407) 810-5433
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