Individual
AARON A THOUNNAVONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2201 WOOLSEY ST, BERKELEY, CA 94705-1832
(510) 316-5251
Mailing address
2201 WOOLSEY ST, BERKELEY, CA 94705-1832
(775) 376-0634
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/17/2025
Last updated
02/17/2025
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