Individual
NGOC KIM PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
7252 LAKESHORE DR, NEW ORLEANS, LA 70124-2433
(504) 323-3450
Mailing address
7252 LAKESHORE DR, NEW ORLEANS, LA 70124-2433
(504) 323-3450
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
L-290
LA
Other
Enumeration date
06/05/2018
Last updated
06/05/2018
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