PHOUSAVANH SOUTHISOMBATH
NPI 1295497360
Behavior Technician in Fresno, CA
About Phousavanh Southisombath NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PHOUSAVANH SOUTHISOMBATH (NPI 1295497360) is an individual behavior technician in Fresno, California and active in the NPI registry since October 2021.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Phousavanh Southisombath's NPI number?
The NPI number for Phousavanh Southisombath is 1295497360. It was assigned to this individual provider in the NPPES registry on October 6, 2021.
Where is Phousavanh Southisombath located?
Phousavanh Southisombath practices at 1401 Fulton St Ste 200, Fresno, CA 93721. The listed phone number is (559) 348-9225.
What is Phousavanh Southisombath's specialty?
The primary specialty registered for this NPI is Behavior Technician with taxonomy code 106S00000X.
When was this NPI record last updated?
The NPPES record for Phousavanh Southisombath was last updated on October 6, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.