Individual provider Active NPI

Thuylinh Duong, BEHAVIOR TECHNICIAN

  • Behavior Technician
  • Huntington Beach, CA
National Provider Identifier
1023511193
Registry record updated Jun 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
17011 Beach Blvd Ste 900
Huntington Beach, CA 92647-5998
Phone
(562) 248-6377
NPI assigned
Mar 14, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Other Technician 247200000X
Behavior Technician 106S00000X Primary

Addresses

Primary practice location

17011 Beach Blvd Ste 900
Huntington Beach, CA 92647-5998

Mailing address

17011 Beach Blvd Ste 900
Huntington Beach, CA 92647-5998
Phone (562) 248-6377

Other practice location 1

1901 Carnegie Ave
Santa Ana, CA 92705-5504
Phone (800) 273-4292

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1520985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623110400000",
    "number": "1023511193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17011 BEACH BLVD STE 900",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926475998",
            "telephone_number": "562-248-6377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17011 BEACH BLVD STE 900",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926475998",
            "telephone_number": "562-248-6377"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1901 Carnegie Ave",
            "address_purpose": "LOCATION",
            "city": "Santa Ana",
            "state": "CA",
            "postal_code": "927055504",
            "country_code": "US",
            "telephone_number": "800-273-4292",
            "fax_number": "714-596-6274",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUONG",
        "first_name": "THUYLINH",
        "credential": "BEHAVIOR TECHNICIAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-14",
        "last_updated": "2021-06-08",
        "certification_date": "2021-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.