MARYDANG PHANIXAY

Behavior Technician

Active Individual
NPI: 1215547906

Practice Address

2354 POWELL ST STE A-1
Emeryville, CA 94608

Phone: (877) 242-2884

Specialties

Specialty Code Primary License
Behavior Technician 106S00000X Yes -

Frequently Asked Questions

NPI 1215547906 is the National Provider Identifier for MARYDANG PHANIXAY, a Behavior Technician provider located in Emeryville, CA. This NPI was enumerated on August 6, 2020.
MARYDANG PHANIXAY practices at 2354 POWELL ST STE A-1, Emeryville, CA 94608.

Quick Facts

NPI
1215547906
Type
Individual
Enumerated
Aug 6, 2020
Last Updated
Aug 6, 2020

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