Mandy Pham

NPI #1669930871 in Dana Point, California

Provider Information

NPI Number: 1669930871
Entity Type: Individual
Name: Mandy Pham
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Mar 6, 2019
Last Updated: Mar 6, 2019

Practice Location

Address: 32565 GOLDEN LANTERN SUITE B #180
City: Dana Point
State: California
ZIP Code: 92629
Phone: (714) 552-1317

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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