REBECCA PHOSAVATH

Behavior Analyst

Active Individual
NPI: 1588397558

Practice Address

109 TALLOW RD
Pomona Park, FL 32181

Phone: (386) 546-5944

Specialties

Specialty Code Primary License
Behavior Technician 106S00000X No RBT-22-223696 (FL)
Behavior Analyst 103K00000X Yes 1-24-76116 (FL)

Frequently Asked Questions

NPI 1588397558 is the National Provider Identifier for REBECCA PHOSAVATH, a Behavior Analyst provider located in Pomona Park, FL. This NPI was enumerated on July 6, 2022.
REBECCA PHOSAVATH practices at 109 TALLOW RD, Pomona Park, FL 32181.

Quick Facts

NPI
1588397558
Type
Individual
Enumerated
Jul 6, 2022
Last Updated
Sep 30, 2024

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