Individual
MR. HUNG TIEN NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7288 HANOVER GREEN DR, MECHANICSVILLE, VA 23111-1709
(248) 299-0030
Mailing address
27777 INKSTER RD STE 100, FARMINGTON HILLS, MI 48334-5312
(248) 299-0030
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
01330013887
VA
106S00000X
Behavior Technician
RBT-15-1167-13398
VA
Other
Enumeration date
03/22/2018
Last updated
06/29/2022
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