Provider Demographics
NPI:1881307841
Name:HONG, TRINH (PPSC, BCBA)
Entity type:Individual
Prefix:
First Name:TRINH
Middle Name:
Last Name:HONG
Suffix:
Gender:F
Credentials:PPSC, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14252 CULVER DR STE A323
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92604-0317
Mailing Address - Country:US
Mailing Address - Phone:213-700-0612
Mailing Address - Fax:
Practice Address - Street 1:16600 SHERMAN WAY STE 165
Practice Address - Street 2:
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91406-3733
Practice Address - Country:US
Practice Address - Phone:818-386-1094
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-04
Last Update Date:2023-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA2100538531041S0200X
CA1-22-60994103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool