Ethan Ly Ngo
Behavior Analyst in Costa Mesa, CA. Individual provider (NPI-1).
NPI number1477398261
StatusActive
Last updated in NPPESJun 25, 2024
Details
- NPI
- 1477398261
- Entity type
- Individual (NPI-1)
- Name
- Ethan Ly Ngo
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 25, 2024
- Certification date
- Jun 25, 2024
- Last updated
- Jun 25, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | – | – | Yes |
Practice location
3186 Airway Ave Ste ACosta Mesa, CA 92626-4650
Phone 714-881-0427
Mailing address
3186 Airway Ave Ste ACosta Mesa, CA 92626-4650
Phone 714-881-0427 · Fax 714-327-0673
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