Individual
PHONG PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
125 CAMBRIDGEPARK DR STE 301, CAMBRIDGE, MA 02140-2392
(857) 919-4493
Mailing address
125 CAMBRIDGEPARK DR STE 301, CAMBRIDGE, MA 02140-2392
(857) 919-4493
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1617
MA
Other
Enumeration date
07/15/2014
Last updated
01/11/2023
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