Healthcare Provider Details

I. General information

NPI: 1346154408
Provider Name (Legal Business Name): TRAM TRAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date: 09/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1964 GALLOWS RD
VIENNA VA
22182-3814
US

IV. Provider business mailing address

1964 GALLOWS RD STE 280
VIENNA VA
22182-3877
US

V. Phone/Fax

Practice location:
  • Phone: 571-533-3456
  • Fax:
Mailing address:
  • Phone: 571-533-3456
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-26-2854411
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: