Individual
AMY NGO THAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5031 12TH AVE NE UNIT B, SEATTLE, WA 98105-4306
(425) 299-1012
Mailing address
5031 12TH AVE NE UNIT B, SEATTLE, WA 98105-4306
(425) 299-1012
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/22/2018
Last updated
06/22/2018
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