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Organization
NEURODIVERGENT PARENTING LLC
Active
Organization
NEURODIVERGENT PARENTING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THEA PHAM (CEO)
(310) 699-4229
Entity
Organization
Contact information
Practice address
996 ROYAL MARCO WAY, MARCO ISLAND, FL 34145-1829
(310) 699-4229
Mailing address
996 ROYAL MARCO WAY, MARCO ISLAND, FL 34145-1829
(310) 699-4229
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
09/25/2024
Last updated
09/25/2024
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