MEDICARE: ALINA NGUYEN

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	:	1326979394
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALINA NGUYEN

Provider Business Mailing Address
First Line	:	100 OAK CIR # 100
Second Line	:
City	:	WALNUT CREEK
State	:	CA
Zip	:	94597-3314
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2120 JENNINGS AVE APT 1902
Second Line	:
City	:	SANTA ROSA
State	:	CA
Zip	:	95401-9576
Country	:	US
Telephone Number	:	510-617-6372
Fax Number	:

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

Provider Enumeration Date	:	05/27/2026
Last Update Date	:	05/27/2026

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Directions to “ ALINA NGUYEN ” Practice Location

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