Individual
VIET NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
474 WANDO PARK BLVD STE 104, MOUNT PLEASANT, SC 29464-7933
(843) 654-5000
Mailing address
474 WANDO PARK BLVD STE 104, MOUNT PLEASANT, SC 29464-7933
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-20-136495
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CG60628919
—
WA
Enumeration date
01/20/2016
Last updated
07/16/2021
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