Andrew Truong
Behavior Technician in Ontario, CA. Individual provider (NPI-1).
NPI number1003552258
StatusActive
Last updated in NPPESMay 10, 2022
Details
- NPI
- 1003552258
- Entity type
- Individual (NPI-1)
- Name
- Andrew Truong
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 10, 2022
- Certification date
- May 10, 2022
- Last updated
- May 10, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
1500 S Haven Ave Ste 250Ontario, CA 91761-2973
Phone 909-749-5204
Mailing address
1500 S Haven Ave Ste 250Ontario, CA 91761-2973
Phone 909-749-5204
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