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Phousavanh Southisombath
NPI 1295497360 · Behavior Technician · Fresno, CA
Phousavanh Southisombath is a Behavior Technician provider in Fresno, CA (NPI 1295497360).
Provider details
- NPI number
- 1295497360
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1401 Fulton St Ste 200
Fresno, CA 93721-1646
Phone: (559) 348-9225
Street-level locationGet directions
Mailing address
1401 Fulton St Ste 200
Fresno, CA 93721-1646
Registry dates
- Enumerated
- 2021-10-06
- Last updated
- 2021-10-06
- Certified
- 2021-10-06
Frequently asked questions
- What is Phousavanh Southisombath's NPI number?
- Phousavanh Southisombath's National Provider Identifier (NPI) is 1295497360, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Phousavanh Southisombath's specialty?
- Phousavanh Southisombath is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Phousavanh Southisombath located?
- Phousavanh Southisombath's practice location on file with NPPES is 1401 Fulton St Ste 200, Fresno, CA 93721-1646.
- What is Phousavanh Southisombath's phone number?
- The practice phone number listed in the NPPES registry for Phousavanh Southisombath is (559) 348-9225.
- Is Phousavanh Southisombath's NPI active?
- Yes — Phousavanh Southisombath's NPI (1295497360) is active in the NPPES registry as of the last update on 2021-10-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.