Tiffany Ngoc Phan

NPI #1396286381 in Roseville, California

Provider Information

NPI Number: 1396286381
Entity Type: Individual
Name: Tiffany Ngoc Phan
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Mar 10, 2017
Last Updated: Mar 10, 2017

Practice Location

Address: 6008 CRATER LAKE DR
City: Roseville
State: California
ZIP Code: 95678-1970
Phone: (916) 595-1931

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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