Individual
ALEX NGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1912 DAYTON AVE, SAN LEANDRO, CA 94579-1551
(510) 917-3333
Mailing address
1912 DAYTON AVE, SAN LEANDRO, CA 94579-1551
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/28/2018
Last updated
02/28/2018
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