MEDICARE: NGO MINH THUY 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	RBT-26-518045

General Provider Information

NPI Number	:	1508712670
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NGO MINH THUY NGUYEN

Provider Business Mailing Address
First Line	:	1435 COVENTRY MNR APT 104
Second Line	:
City	:	LAWRENCE
State	:	KS
Zip	:	66049-4644
Country	:	US
Telephone Number	:	816-853-0946
Fax Number	:	816-396-8809

Provider Business Practice Location Address
First Line	:	1460 NW VIVION RD
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64118-4555
Country	:	US
Telephone Number	:	816-853-0946
Fax Number	:

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

Provider Enumeration Date	:	03/10/2026
Last Update Date	:	04/07/2026

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Directions to “ NGO MINH THUY NGUYEN ” Practice Location

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