Individual
CONNIE TIEU DUONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, BCBA
Contact information
Practice address
4515 OCEAN VIEW BLVD STE 320, LA CANADA, CA 91011-1438
(818) 937-0882
(818) 937-0883
Mailing address
4515 OCEAN VIEW BLVD STE 320, LA CANADA, CA 91011-1438
(818) 937-0882
(818) 937-0883
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-17-28387
CA
Other
Enumeration date
01/31/2017
Last updated
11/05/2018
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