Philip Phan
Philip Phan is a Behavior Technician in Stockton, California. Licensed in California. Registered with an NPI since 2021.
- Licensed in
- CA
- In the registry since
- 2021
Practice location Address checks out
1811 Grand Canal Blvd Ste 2Stockton, CA 95207-8107
Phone: (000) 000-0000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X (CA) |
|---|
Record details
| NPI number | 1437819950 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | December 23, 2021 |
| Last updated in NPPES | December 23, 2021 |
| Certification date | December 23, 2021 |
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