KRISTINE T PHAN

LAKEWOOD, CA
NPI1932699022
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy103K00000X Behavior Analyst
(Licence: CA  1-18-30085)
Enumeration Date2018-05-14
Last Update Date2018-05-14
Business Address
KRISTINE T PHAN BCBA
5834 ADENMOOR AVE
LAKEWOOD, CA 90713-1002
Phone number: 310-310-2931
Mailing Address
KRISTINE T PHAN BCBA
5834 ADENMOOR AVE
LAKEWOOD, CA 90713-1002
Phone number: 310-310-2931