Most Relevant Information
Provider Data
| NPI Number: | 1003314642 |
| Provider Name: | GEORGINA NGUYEN RBT, BCAT. |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: | RBT-16-17744 |
Most Important Dates
| Enumeration Date: | 01/29/2018 |
| Last Updated: | 01/29/2018 |
Provider Practice Location
3170 DE LA CRUZ BLVD STE 107
SANTA CLARA
CA
950542411
Practice Location Phone/Fax
| Phone: | 4084238076 |
| Fax: |
Provider Mailing Location
21600 OXNARD ST STE 1800
WOODLAND HILLS
CA
913677807
Provider Mailing Phone/Fax
| Phone: | 8183452345 |
| Fax: |