Mrs. Michelle Theresa Petrillo Phan
Mrs. Michelle Theresa Petrillo Phan is a Behavior Analyst in Newport Beach, California. Practices as a sole proprietor. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
1151 Dove StNewport Beach, CA 92660-2840
Phone: (949) 630-8290
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Specialties & licences
| Behavior Analyst (primary) | Taxonomy 103K00000X |
|---|
Record details
| NPI number | 1033824974 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | January 16, 2023 |
| Last updated in NPPES | September 11, 2025 |
| Certification date | January 15, 2023 |
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