Van Ian Pham
Van Ian Pham is a Behavior Technician in Northbrook, Illinois. Licensed in Illinois. Registered with an NPI since 2022.
- Licensed in
- IL
- In the registry since
- 2022
Practice location Address checks out
85 Revere Dr Ste AANorthbrook, IL 60062-8001
Phone: (844) 247-7222
Fax: (215) 489-8766
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X · Licence RBT-22-217972 (IL) |
|---|
Record details
| NPI number | 1619616273 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | June 1, 2022 |
| Last updated in NPPES | June 1, 2022 |
| Certification date | June 1, 2022 |
| Mailing address | Po Box 639561, Cincinnati, OH 45263-9561 |
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