Mina Thammavongsa
Mina Thammavongsa is a Behavior Technician in Port Huron, Michigan. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
1014 Holland AvePort Huron, MI 48060-1513
Phone: (810) 937-5012
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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 | 1639932494 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | February 5, 2024 |
| Last updated in NPPES | February 5, 2024 |
| Certification date | February 4, 2024 |
| Mailing address | 1014 Holland Ave, Port Huron, MI 48060-1513 |
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