Individual
KRISTINE KHUE PHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16 2ND ST NW, HICKORY, NC 28601-6105
(828) 358-0976
(828) 838-1057
Mailing address
PO BOX 749, BELMONT, NC 28012-0749
(714) 710-2539
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
3277
NC
103K00000X
Behavior Analyst
—
NV
103K00000X
Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
02/22/2019
Last updated
01/16/2026
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