Individual
ANGELINA PHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 W 34TH ST #443, AUSTIN, TX 78705
(512) 641-4020
Mailing address
8212 BOULDER CANYON TRL, FORT WORTH, TX 76123-8000
(682) 300-9227
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/05/2025
Last updated
06/05/2025
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