Provider Demographics
NPI:1851918023
Name:DINH, ANDREA NHATVI (MA)
Entity Type:Individual
Prefix:
First Name:ANDREA
Middle Name:NHATVI
Last Name:DINH
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8722 MARYLEE DR
Mailing Address - Street 2:
Mailing Address - City:GARDEN GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:92841-2200
Mailing Address - Country:US
Mailing Address - Phone:657-238-9334
Mailing Address - Fax:
Practice Address - Street 1:23041 AVENIDA DE LA CARLOTA STE 175
Practice Address - Street 2:
Practice Address - City:LAGUNA HILLS
Practice Address - State:CA
Practice Address - Zip Code:92653-1588
Practice Address - Country:US
Practice Address - Phone:949-954-4422
Practice Address - Fax:714-242-1611
Is Sole Proprietor?:No
Enumeration Date:2020-07-02
Last Update Date:2024-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
106S00000X
CA1-24-70596103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA000023685596OtherKAISER