Individual
MICHELLE HOANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4624 BROADWAY, NEW YORK, NY 10040-2102
(212) 569-1044
Mailing address
5305 PURINGTON AVE, FORT WORTH, TX 76112-4841
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
RBT-20-135380
MA
252Y00000X
Early Intervention Provider Agency
Primary
011825
NY
Other
Enumeration date
02/11/2021
Last updated
08/05/2026
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