Individual
ANNA THU PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
758 ROYAL ST, BATON ROUGE, LA 70802-6433
(225) 529-3890
Mailing address
5075 NICHOLSON DR # H103, BATON ROUGE, LA 70820-3995
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/09/2022
Last updated
02/09/2022
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