Individual
HAILEY PHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
13711 NE 94TH CIR, VANCOUVER, WA 98682-2951
(360) 583-0663
Mailing address
13711 NE 94TH CIR, VANCOUVER, WA 98682-2951
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/04/2026
Last updated
05/04/2026
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