MEDICARE: LYNDA NGUYEN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1124951462
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LYNDA NGUYEN

Provider Business Mailing Address
First Line	:	100 N HOWARD ST STE 6444
Second Line	:
City	:	SPOKANE
State	:	WA
Zip	:	99201-0508
Country	:	US
Telephone Number	:	206-580-3530
Fax Number	:	206-492-2235

Provider Business Practice Location Address
First Line	:	100 N HOWARD ST STE 6444
Second Line	:
City	:	SPOKANE
State	:	WA
Zip	:	99201-0508
Country	:	US
Telephone Number	:	206-580-3530
Fax Number	:	206-492-2235

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/05/2026
Last Update Date	:	06/05/2026

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Directions to “ LYNDA NGUYEN ” Practice Location

Language	Start Address	Practice Location

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