Individual
ANGELICA PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED., BCBA, LBA
Contact information
Practice address
5700 S MOPAC EXPY STE 310, AUSTIN, TX 78749-1457
(512) 458-0260
Mailing address
5700 S MOPAC EXPY STE 310, AUSTIN, TX 78749-1457
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
8454
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22224141
BACB
TX
Enumeration date
07/25/2022
Last updated
05/28/2025
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