Most Relevant Information
Provider Data
| NPI Number: | 1003304544 |
| Provider Name: | NEIL NAKHONCHAIKUL |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/30/2018 |
| Last Updated: | 04/30/2018 |
Provider Practice Location
3160 CROW CANYON PL STE 205
SAN RAMON
CA
945831338
Practice Location Phone/Fax
| Phone: | 8182416780 |
| Fax: |
Provider Mailing Location
206 N JACKSON ST STE 202
GLENDALE
CA
912064330
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |