Cham Paulina Thanh Phan, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

L-1013 Issued in LA

Practice address

4224 Florida Ave Ste 5
Kenner, LA 70065-1390

Phone

(504) 505-4352

Fax

(386) 382-4353

NPI assigned

Aug 22, 2025

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Cham Thanh Cham Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1755820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755820800000",
    "number": "1215815733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "648 CAMERON CT",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700652604",
            "telephone_number": "504-505-4352",
            "fax_number": "386-382-4353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4224 FLORIDA AVE STE 5",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700651390",
            "telephone_number": "504-505-4352",
            "fax_number": "386-382-4353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAN",
        "first_name": "CHAM",
        "middle_name": "PAULINA THANH",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-22",
        "last_updated": "2025-08-22",
        "certification_date": "2025-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "LA",
            "license": "L-1013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHAM",
            "last_name": "CHAM",
            "middle_name": "THANH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jack Noel Peterson, M. D.
• Brittani Sanchez Pfister
• Katie Thao Pham, DDS
• Lilian My Pham, MD
• Nathan Thien Pham, DO
• Sandra Phelps, PA-C
• John Hunter Phillips IV, LCSW
• Stephanie Legaux Phillips, CRNA
• Phoenix Raising Veteran Services Inc.
• Physician Care, Apmc

• Behavior Analyst in Kenner, LA
• Providers in Kenner, LA by specialty
• Behavior Analyst in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.