Han Bao Phan

NPI #1316749898 in Gainesville, Florida

Provider Information

NPI Number: 1316749898
Entity Type: Individual
Name: Han Bao Phan
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Mar 26, 2025
Last Updated: Mar 26, 2025

Practice Location

Address: 3601 SW 2ND AVE STE S
City: Gainesville
State: Florida
ZIP Code: 32607-2802
Phone: (561) 809-5074

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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