Anthony Wong Phan

Behavior Analyst · West Covina, CA

Individual Active NPI

NPI number 1285390815

Practice location

835 W Christopher St
West Covina, CA 91790-3702
Phone
(626) 943-7772

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NPI record

NPI
1285390815
Entity type
Individual (Type 1)
Enumeration date
November 9, 2021
Last updated
November 9, 2021
Certified
November 9, 2021
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Analyst Primary 103K00000X 1-21-54001 CA

Mailing address

9060 Huntington Dr
San Gabriel, CA 91775-1332
Phone
(626) 943-7772

About Anthony Phan

Anthony Wong Phan is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Analyst (code 103K00000X). The practice location is 835 W Christopher St, West Covina, CA 91790-3702. The NPI number 1285390815 was assigned on November 9, 2021 and the record was last updated on November 9, 2021.

Anthony Phan lists a license in the registry: #1-21-54001 (CA) for Behavior Analyst. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Anthony Wong Phan?

The NPI number is 1285390815.

What is the phone number of Anthony Phan?

The phone number listed for the practice location is (626) 943-7772.

Where is Anthony Phan located?

835 W Christopher St, West Covina, CA 91790-3702.

What is the taxonomy code for Anthony Phan?

The primary taxonomy code is 103K00000X – Behavior Analyst.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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