Provider Demographics
NPI:1255128286
Name:TRUONG, ALISON HONG
Entity type:Individual
Prefix:
First Name:ALISON
Middle Name:HONG
Last Name:TRUONG
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2929 SILVERLAND CT
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95135-2021
Mailing Address - Country:US
Mailing Address - Phone:408-461-7939
Mailing Address - Fax:
Practice Address - Street 1:8526 HICKORY LN
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92504-2915
Practice Address - Country:US
Practice Address - Phone:951-706-0028
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-23
Last Update Date:2025-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician