Most Relevant Information
Provider Data
| NPI Number: | 1003461930 |
| Provider Name: | JENNY NGUYEN |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/07/2019 |
| Last Updated: | 08/07/2019 |
Provider Practice Location
39420 LIBERTY ST STE 150
FREMONT
CA
945382284
Practice Location Phone/Fax
| Phone: | 5107945155 |
| Fax: |
Provider Mailing Location
39420 LIBERTY ST STE 150
FREMONT
CA
945382284
Provider Mailing Phone/Fax
| Phone: | 5107945155 |
| Fax: |