Provider Demographics
NPI:1013345214
Name:LA, ALINA TRUONG (BA)
Entity Type:Individual
Prefix:
First Name:ALINA
Middle Name:TRUONG
Last Name:LA
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:705 BRAY CENTRAL DR
Mailing Address - Street 2:APT 9301
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75013-6370
Mailing Address - Country:US
Mailing Address - Phone:281-785-4246
Mailing Address - Fax:
Practice Address - Street 1:705 BRAY CENTRAL DR
Practice Address - Street 2:APT 9301
Practice Address - City:ALLEN
Practice Address - State:TX
Practice Address - Zip Code:75013-6370
Practice Address - Country:US
Practice Address - Phone:281-785-4246
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-24
Last Update Date:2013-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst