Provider Demographics
NPI:1578054102
Name:HUYNH, TRINH (BCBA #1-21-57262)
Entity Type:Individual
Prefix:
First Name:TRINH
Middle Name:
Last Name:HUYNH
Suffix:
Gender:F
Credentials:BCBA #1-21-57262
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1752 NW MARKET ST STE 203
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98107-5264
Mailing Address - Country:US
Mailing Address - Phone:408-564-1292
Mailing Address - Fax:
Practice Address - Street 1:2440 NW 57TH ST APT 4
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98107-3269
Practice Address - Country:US
Practice Address - Phone:408-564-1292
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-18
Last Update Date:2022-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
103K00000X, 106S00000X
CA106S00000X
WA1-21-57262103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician