Tina Phan
NPI #1962242743 in Campbell, California
Provider Information
- NPI Number
- 1962242743
- Entity Type
- Individual
- Name
- Tina Phan
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Behavior Analyst
- Enumeration Date
- May 29, 2024
- Last Updated
- Sep 12, 2025
Practice Location
- Address
- 577 SALMAR AVE
- City
- Campbell
- State
- California
- ZIP Code
- 95008-1453
- Phone
- (669) 242-5090
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Analyst |
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