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Individual

ANDREW PHOU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
12399 LEWIS ST STE 202, GARDEN GROVE, CA 92840-4697
(714) 750-0575
(714) 750-0160
Mailing address
21600 OXNARD ST STE 1800, WOODLAND HILLS, CA 91367-7807
(818) 345-2345
(818) 758-8015

Taxonomy

Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-17-7806
CA

Other

Enumeration date
09/01/2017
Last updated
09/01/2017
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