Individual
SAVETH PHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
510 WHISPERING WIND DR STE 110, TRACY, CA 95377-8119
(209) 572-2589
Mailing address
PO BOX 5157, MODESTO, CA 95352-5157
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
CA
Other
Enumeration date
08/12/2019
Last updated
08/12/2019
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