Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GRACE GOTOS PHAN, LPT
Active Sole ProprietorGRACE GOTOS PHAN, LPT is a Behavioral Health Technician healthcare provider located in STOCKTON, California. NPI 1912235276 is currently active in the NPPES registry. Verify at CMS.
Behavioral Health Technician · STOCKTON, CA
Registration Details
- NPI Number
- 1912235276
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 25, 2009 (16.738675011953 yrs)
- Last Updated
- Jun 3, 2021
- License
-
PT32760 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2812 BREAKER WAYSTOCKTON, CA, 952094265Browse CA providers · Browse ZIP 95209
- Phone
- 2093517132
- Primary Specialty
-
Behavioral Health Technician
374700000X
Other Behavioral Health Technician Providers in STOCKTON, CA
| Name | Credential | NPI |
|---|---|---|
| ELIZABETH ANN IVERSON | L.P.T. | 1013175066 |
| MARTHA ISABEL MARTINEZ | LPT | 1891953667 |
| STACY FEARN | — | 1215346903 |
| MR. JAMES MICHAEL MOCKO | — | 1558726224 |
| ANTHONY YADON I | — | 1457815227 |
| MARTHA ALICIA GARCIA | — | 1942986450 |
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.