Patric Phuey Phanouvong
Patric Phuey Phanouvong is a Behavior Technician in Stockton, California. Licensed in California. Registered with an NPI since 2022.
- Licensed in
- CA
- In the registry since
- 2022
Practice location Address checks out
1811 Grand Canal Blvd Ste 2 Stockton CA 95207Stockton, CA 95207
Phone: (877) 418-2978
Fax: (866) 500-2186
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Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X (CA) |
|---|
Record details
| NPI number | 1669189965 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | November 4, 2022 |
| Last updated in NPPES | November 4, 2022 |
| Certification date | November 4, 2022 |
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