Individual
ALBERT THAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1835 PARK AVE, SAN JOSE, CA 95126-1629
(303) 989-8169
Mailing address
7285 ORCHARD DR, GILROY, CA 95020-6009
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/26/2018
Last updated
02/04/2020
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