Individual
CHANCHOY PHARN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1025 ATLANTIC AVE STE 101, ALAMEDA, CA 94501-1188
(510) 268-8120
Mailing address
2619 38TH AVE, OAKLAND, CA 94619-1003
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/05/2018
Last updated
07/05/2018
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