Individual
CATTUONG PHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
2080 N TUSTIN AVE, SUITE B, SANTA ANA, CA 92705-7875
(855) 581-0100
(949) 709-0311
Mailing address
2080 N TUSTIN AVE, SUITE B, SANTA ANA, CA 92705-7875
(855) 581-0100
(949) 709-0311
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-16-23909
CA
Other
Enumeration date
03/23/2017
Last updated
03/23/2017
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