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

Petamphone Vanlathanith

Individual provider Behavior Technician · NPI 1164011201

Petamphone Vanlathanith is a Behavior Technician in Fremont, California. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

39201 State St
Fremont, CA 94538-1437
Phone: (866) 206-2008
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1164011201
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 13, 2021
Last updated in NPPESJanuary 13, 2021
Certification dateJanuary 13, 2021
Mailing address39201 State St, Fremont, CA 94538-1437

Other providers in Fremont