Phan, Jennifer

Phan, Jennifer is an individual health care provider with primary practice located at 865 Marina Bay Pkwy Ste 37 & 38 , Richmond CA 94804. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Phan, Jennifer can be contacted via phone (510) 422-6311.

Contact Information

Primary practice address
865 Marina Bay Pkwy Ste 37 & 38 Richmond CA 94804
Phone: (510) 422-6311
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1396385654
LBN Legal business name Phan, Jennifer
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 14th, 2020
Last updated Jan 14th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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