Individual
CHAM PAULINA THANH PHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
4224 FLORIDA AVE STE 5, KENNER, LA 70065-1390
(504) 505-4352
(386) 382-4353
Mailing address
648 CAMERON CT, KENNER, LA 70065-2604
(504) 505-4352
(386) 382-4353
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
L-1013
LA
Other
Enumeration date
08/22/2025
Last updated
08/22/2025
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