Individual
STEPHANIE THUY NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
94-450 MOKUOLA ST #100, WAIPAHU, HI 96797
(808) 944-2882
Mailing address
16782 VON KARMAN AVE STE 11, IRVINE, CA 92606-2417
(855) 223-7123
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-174757
HI
Other
Enumeration date
05/17/2021
Last updated
12/05/2022
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