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NPI Code Detail

MEDICARE: TRAM NGUYEN MA, BCBA

MEDICARE:   TRAM  NGUYEN  MA, BCBA
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
1103K00000XBehavior AnalystCA

General Provider Information

NPI Number : 1013558584
Entity Type Code : Individual
Provider Name (Legal Business Name) : TRAM NGUYEN MA, BCBA
Provider Business Mailing Address
First Line : 295 89TH ST STE 306
Second Line :
City : DALY CITY
State : CA
Zip : 94015-1656
Country : US
Telephone Number : 877-264-6747
Fax Number :
Provider Business Practice Location Address
First Line : 1101 S WINCHESTER BLVD STE F168
Second Line :
City : SAN JOSE
State : CA
Zip : 95128-3903
Country : US
Telephone Number : 877-264-6747
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/04/2019
Last Update Date : 01/29/2026

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Directions to “ TRAM NGUYEN MA, BCBA” Practice Location

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