Provider / Organization | NPI | Date Certified |
---|---|---|
ANDY THIEN PHAM | 1679204986 | 2022-06-19 |
Andy Thien Pham is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1679204986. Registration indicates Andy Thien Pham is a provider of services with a specialization in Behavioral Health & Social Service Providers, Behavior Technician (Behavior Technician, Behavioral Health & Social Service Providers) (Behavior Technician, )
Entity Type | Individual |
Provider Name | Andy Thien Pham |
Practice Office Address | 1063 MCGAW AVE STE 100 IRVINE, CA US |
Practice Office Telephone | 7142495264 |
Mailing Address | 2575 E RILES CIR ANAHEIM, CA 928065610 US |
Business Telephone | 7142495264 |
Code | Practice | License No State |
---|---|---|
106S00000X PRIMARY | Behavioral Health & Social Service Providers Behavior Technician Behavior Technician Behavioral Health & Social Service Providers Behavior Technician |