Individual
TRANG PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.S. PSYCHOLOGY
Contact information
Practice address
7000 AUSTIN ST, FOREST HILLS, NY 11375-1022
(718) 762-7633
Mailing address
8246 135TH ST APT 4V, JAMAICA, NY 11435-1426
(773) 366-9861
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/06/2017
Last updated
11/06/2017
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