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NPI Code Detail

MEDICARE: BAO NGOC THI HO BCBA

MEDICARE: BAO NGOC THI HO 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
1106S00000XBehavior Technician
2103K00000XBehavior Analyst1-24-70613CA

General Provider Information

NPI Number : 1205482676
Entity Type Code : Individual
Provider Name (Legal Business Name) : BAO NGOC THI HO BCBA
Provider Business Mailing Address
First Line : 4310 HUBBARD ST UNIT 518
Second Line :
City : EMERYVILLE
State : CA
Zip : 94608-3589
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2000 POWELL ST STE 900
Second Line :
City : EMERYVILLE
State : CA
Zip : 94608-1888
Country : US
Telephone Number : 510-982-3773
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/12/2019
Last Update Date : 06/09/2026

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Directions to “ BAO NGOC THI HO BCBA” Practice Location

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