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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

REBECCA A PHOSAVATH

Active Sole Proprietor

REBECCA A PHOSAVATH is a Behavior Analyst healthcare provider located in POMONA PARK, Florida. NPI 1588397558 is currently active in the NPPES registry. Verify at CMS.

Behavior Analyst · POMONA PARK, FL

Registration Details

NPI Number
1588397558
Provider Type
Individual
Gender
Female
NPI Issued
Jul 6, 2022 (4.0991066992416 yrs)
Last Updated
Sep 30, 2024
Licenses
RBT-22-223696 (FL)
1-24-76116 (FL)
Sole Proprietor
Yes

Practice Information

Address
109 TALLOW RD
POMONA PARK, FL, 321812462
Browse FL providers · Browse ZIP 32181
Phone
3865465944
Primary Specialty
Behavior Analyst
103K00000X
Additional Specialty
Behavior Analyst

Other Behavior Analyst Providers in POMONA PARK, FL

Name Credential NPI
PENNY JUNE NICHOLS-WELLS MS, BCBA 1669111423
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.