Healthcare Provider Details

I. General information

NPI: 1881307841
Provider Name (Legal Business Name): TRINH HONG PPSC, BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/04/2023
Last Update Date: 02/15/2023
Certification Date: 02/15/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16600 SHERMAN WAY STE 165
VAN NUYS CA
91406-3733
US

IV. Provider business mailing address

14252 CULVER DR STE A323
IRVINE CA
92604-0317
US

V. Phone/Fax

Practice location:
  • Phone: 818-386-1094
  • Fax:
Mailing address:
  • Phone: 213-700-0612
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041S0200X
TaxonomySchool Social Worker
License Number210053853
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-22-60994
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: