Individual
THANG TAT NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, BCBA, LBA
Contact information
Practice address
8521 SIX FORKS RD STE 305, RALEIGH, NC 27615-5292
(919) 325-0952
(800) 349-8941
Mailing address
1141 CANYON SHADOWS CT, CARY, NC 27519-1004
(336) 862-0035
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-25-84572
NC
106S00000X
Behavior Technician
RBT-23-271574
NC
Other
Enumeration date
06/09/2025
Last updated
12/01/2025
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