Quy John Tan Pham

NPI #1881337673 in Colwich, Kansas

Provider Information

NPI Number: 1881337673
Entity Type: Individual
Name: Quy John Tan Pham
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Apr 19, 2022
Last Updated: Apr 19, 2022

Practice Location

Address: 709 BROOKSIDE PL
City: Colwich
State: Kansas
ZIP Code: 67030-9683
Phone: (316) 364-8765

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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