Individual
KELLY PHUONG NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
110 2ND ST SW STE 140, AUBURN, WA 98001-5203
(253) 737-5078
Mailing address
4205 SW 337TH PL, FEDERAL WAY, WA 98023-3200
(407) 756-2569
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/21/2022
Last updated
03/21/2022
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