NPI 1205354941

Andrew Phou

Practitioner Assistant Behavior Analyst Garden Grove, CA

Practice location

Address: 12399 Lewis St STE 202, Garden Grove, CA 92840-4697
Phone: (714) 750-0575
Fax: (714) 750-0160
Mailing address: 21600 Oxnard St STE 1800, Woodland Hills, CA 91367-7807

Registered specialties

Assistant Behavior Analyst Primary

Behavioral Health & Social Service Providers Taxonomy 106E00000X Licence 0-17-7806 (CA)

Other Assistant Behavior Analyst providers in California →

Registry record

NPI: 1205354941
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Sep 2017
Record last updated: 1 Sep 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.