Khang Nguyenphuc Dang
Behavior Technician in Fullerton, CA. Individual provider (NPI-1).
NPI number1114745346
StatusActive
Last updated in NPPESSep 27, 2024
Details
- NPI
- 1114745346
- Entity type
- Individual (NPI-1)
- Name
- Khang Nguyenphuc Dang
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 27, 2024
- Certification date
- Sep 26, 2024
- Last updated
- Sep 27, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
713 W Commonwealth AveSuite C
Fullerton, CA 92832
Phone 713-879-4274 · Fax 713-879-2274
Mailing address
713 W Commonwealth AveSuite C
Fullerton, CA 92832
Phone 714-879-4274 · Fax 714-879-2274
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