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Kimberly Marady Nguyen

Behavior Technician in Irvine, CA. Individual provider (NPI-1).

NPI number1669010484
StatusActive
Last updated in NPPESDec 11, 2019

Details

NPI
1669010484
Entity type
Individual (NPI-1)
Name
Kimberly Marady Nguyen
Sex
Female
Sole proprietor
No
Enumeration date
Dec 11, 2019
Certification date
Dec 11, 2019
Last updated
Dec 11, 2019

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

17861 Von Karman Ave
Irvine, CA 92614-6213

Phone 951-365-3840

Mailing address

21600 Oxnard St Ste 1800
Woodland Hills, CA 91367-7807

Phone 818-345-2345

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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