Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103K00000X | Behavior Analyst |
NPI | 1013345214 |
---|---|
Provider Name | Alina Truong La |
First Address | Allen, TX 75013-6370 |
Second Address | Allen, TX 75013-6370 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/10/2013 |
Last Update Date | 24/10/2013 |