Active NPI
Elizabeth Nguyen, BA
- Behavior Technician
- Huntington Beach, CA
National Provider Identifier
1720545601
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 4952 Warner Ave
Huntington Beach, CA 92649-4479 - Phone
- (510) 268-8120
- NPI assigned
- Feb 27, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | CA | Primary |
Addresses
Primary practice location
4952 Warner Ave
Huntington Beach, CA 92649-4479
Mailing address
13402 Erin Rd
Garden Grove, CA 92844-2312
Phone (949) 351-3392
Other practice location 1
12443 Lewis St Ste 201
Garden Grove, CA 92840-4650
Phone (714) 748-4440
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
- Credentials
- Bachelor of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608076800000",
"number": "1720545601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13402 ERIN RD",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928442312",
"telephone_number": "949-351-3392"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4952 WARNER AVE",
"city": "HUNTINGTON BEACH",
"state": "CA",
"postal_code": "926494479",
"telephone_number": "510-268-8120"
}
],
"practiceLocations": [
{
"address_1": "12443 Lewis St Ste 201",
"address_purpose": "LOCATION",
"city": "Garden Grove",
"state": "CA",
"postal_code": "928404650",
"country_code": "US",
"telephone_number": "714-748-4440",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NGUYEN",
"first_name": "ELIZABETH",
"credential": "BA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-27",
"last_updated": "2020-12-16",
"certification_date": "2020-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "CA",
"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 Dec 16, 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.