Andy Phan

Behavior Analyst · Anaheim, CA

Individual Active NPI

NPI number 1417416215

Practice location

4749 E Wesley Dr
Anaheim, CA 92807-1941
Phone
(714) 585-9960

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NPI record

NPI
1417416215
Entity type
Individual (Type 1)
Enumeration date
March 19, 2019
Last updated
July 23, 2025
Certified
July 23, 2025
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Analyst Primary 103K00000X — —

About Andy Phan

Andy Phan is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Analyst (code 103K00000X). The practice location is 4749 E Wesley Dr, Anaheim, CA 92807-1941. The NPI number 1417416215 was assigned on March 19, 2019 and the record was last updated on July 23, 2025.

Frequently asked questions

What is the NPI number of Andy Phan?

The NPI number is 1417416215.

What is the phone number of Andy Phan?

The phone number listed for the practice location is (714) 585-9960.

Where is Andy Phan located?

4749 E Wesley Dr, Anaheim, CA 92807-1941.

What is the taxonomy code for Andy 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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