Individual
THAI VY LAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
2451 E BASELINE RD, GILBERT, AZ 85234-2471
(602) 888-8883
Mailing address
2451 E BASELINE RD, GILBERT, AZ 85234-2471
(602) 888-8883
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
RBT-20-144493
AZ
Other
Enumeration date
12/09/2020
Last updated
01/03/2025
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