MEDICARE: VIVIEN YIYUAN THONG

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	:	1932063781
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VIVIEN YIYUAN THONG

Provider Business Mailing Address
First Line	:	39 RIVERSTONE ISLAND DR
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77479-4602
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4722 RIVERSTONE BLVD STE 100
Second Line	:
City	:	MISSOURI CITY
State	:	TX
Zip	:	77459-4723
Country	:	US
Telephone Number	:	817-984-8655
Fax Number	:

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

Provider Enumeration Date	:	12/15/2025
Last Update Date	:	12/15/2025

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