Individual
KYLER NGUYEN PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3033 N 44TH ST STE 210, PHOENIX, AZ 85018-7244
(480) 399-7072
Mailing address
3033 N 44TH ST STE 210, PHOENIX, AZ 85018-7244
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1861568107
OTHER
—
Enumeration date
07/07/2022
Last updated
04/21/2026
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