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Individual

MR. LAM BAO DUONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
BCBA

Contact information

Practice address
400 E ROYAL LN BLDG 3, IRVING, TX 75039-3540
(972) 644-2076
Mailing address
10503 METRIC DR, DALLAS, TX 75243-5514
(972) 644-2076

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2910
TX

Other

Enumeration date
05/23/2018
Last updated
08/02/2020
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