Vivian Thanh Pham

NPI #1235884982 in Eden Prairie, Minnesota

Provider Information

NPI Number: 1235884982
Entity Type: Individual
Name: Vivian Thanh Pham
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Feb 21, 2022
Last Updated: Feb 21, 2022

Practice Location

Address: 7615 GOLDEN TRIANGLE DR STE A
City: Eden Prairie
State: Minnesota
ZIP Code: 55344-3733
Phone: (952) 767-2974

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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