Evonne Pham Nguyen
Behavior Technician in Walnut Creek, CA. Individual provider (NPI-1).
NPI number1013523901
StatusActive
Last updated in NPPESSep 17, 2020
Details
- NPI
- 1013523901
- Entity type
- Individual (NPI-1)
- Name
- Evonne Pham Nguyen
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 17, 2020
- Certification date
- Sep 16, 2020
- Last updated
- Sep 17, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
877 Ygnacio Valley Rd Ste 100Walnut Creek, CA 94596-3897
Phone 925-482-3330
Mailing address
4794 Woodrose CirDublin, CA 94568-7652
Phone 408-425-1471
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