Individual
DANE NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3113 ROSWELL RD, ST 204, MARIETTA, GA 30062-7620
(770) 421-5271
Mailing address
426 CRESTMONT LN, CANTON, GA 30114-8860
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB1513546
GA
Other
Enumeration date
02/24/2026
Last updated
02/24/2026
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