Most Relevant Information
Provider Data
| NPI Number: | 1003487976 |
| Provider Name: | KEVIN TRUNG LU |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/01/2021 |
| Last Updated: | 07/01/2021 |
Provider Practice Location
1171 HOMESTEAD RD STE 250
SANTA CLARA
CA
950505485
Practice Location Phone/Fax
| Phone: | 4083202590 |
| Fax: |
Provider Mailing Location
3516 DAHILL CT
SAN JOSE
CA
951211325
Provider Mailing Phone/Fax
| Phone: | 6692168348 |
| Fax: |