Individual provider · NPI-1

Huynh-Cuc Thi Nguyen

Behavior Technician · Indio, CA

NPI number1699534115
StatusActive
Last updated in NPPESSep 18, 2024

Details

NPI
1699534115
Entity type
Individual (NPI-1)
Name
Huynh-Cuc Thi Nguyen
Sex
Female
Sole proprietor
Yes
Enumeration date
Mar 18, 2024
Certification date
Sep 18, 2024
Last updated
Sep 18, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes
156F00000X Technician/Technologist––
175T00000X Peer Specialist––

Practice location

47915 Oasis St
Indio, CA 92201-6950

Phone 760-863-8632

Mailing address

47915 Oasis St
Indio, CA 92201-6950

Phone 760-863-8632

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