Provider Demographics
NPI:1215548672
Name:NGUYEN, UYENMI NGOC
Entity Type:Individual
Prefix:
First Name:UYENMI
Middle Name:NGOC
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:47-160 HUI ALAIAHA PL APT C
Mailing Address - Street 2:
Mailing Address - City:KANEOHE
Mailing Address - State:HI
Mailing Address - Zip Code:96744-4381
Mailing Address - Country:US
Mailing Address - Phone:408-644-5302
Mailing Address - Fax:
Practice Address - Street 1:47-160 HUI ALAIAHA PL APT C
Practice Address - Street 2:
Practice Address - City:KANEOHE
Practice Address - State:HI
Practice Address - Zip Code:96744-4381
Practice Address - Country:US
Practice Address - Phone:408-644-5302
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-11
Last Update Date:2023-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIBA-775-0103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst