Mary Vongsackda
Mary Vongsackda is a Behavior Technician in Pasadena, California. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
1055 E Colorado Blvd Ste 560Pasadena, CA 91106-2380
Phone: (818) 241-6780
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1629656871 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | March 30, 2021 |
| Last updated in NPPES | March 30, 2021 |
| Certification date | March 30, 2021 |
| Mailing address | 1055 E Colorado Blvd Ste 560, Pasadena, CA 91106-2380 |
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