Individual
CHRISTINA PHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, BCBA
Contact information
Practice address
875 CRESCENT WAY, ARCATA, CA 95521-6741
(707) 362-7702
Mailing address
1905 I ST, EUREKA, CA 95501-3044
(707) 362-7702
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
11/01/2019
Last updated
12/31/2024
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