Lam Bao Duong, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

2910 Issued in TX

Practice address

400 E Royal LN BLDG 3
Irving, TX 75039-3540

Phone

(972) 644-2076

NPI assigned

May 23, 2018

Last updated

Aug 2, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1527033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596326400000",
    "number": "1205327442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10503 METRIC DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752435514",
            "telephone_number": "972-644-2076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E ROYAL LN BLDG 3",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750393540",
            "telephone_number": "972-644-2076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUONG",
        "first_name": "LAM",
        "middle_name": "BAO",
        "name_prefix": "Mr.",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-23",
        "last_updated": "2020-08-02",
        "certification_date": "2020-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "2910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zaria Duncan
• Frank Jerry Dunn, DDS
• Paige Dunn, M.ED, BCBA
• Ashton Keith Dunnington, DC
• Teddrick Lovell Dunson, M.D.
• Oanh Duong, PHARMD
• Davis Durden
• Durga P. Vedati, Mdpa
• Moriah Durrett
• Dusara Corporation (UniversalMed Supply)

• Behavior Analyst in Irving, TX
• Providers in Irving, TX by specialty
• Behavior Analyst in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2020; 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.