Individual
KALIE PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12626 RIVERSIDE DR STE 409, VALLEY VILLAGE, CA 91607-3451
(818) 661-6306
Mailing address
12021 KLING ST APT 107, VALLEY VILLAGE, CA 91607-3977
(424) 527-6374
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
01/21/2022
Last updated
01/21/2022
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