Preston Dominic Thongvilay

NPI #1144862616 in Richmond, California

Provider Information

NPI Number: 1144862616
Entity Type: Individual
Name: Preston Dominic Thongvilay
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Oct 16, 2019
Last Updated: Oct 16, 2019

Practice Location

Address: 865 MARINA BAY PKWY STE 37
City: Richmond
State: California
ZIP Code: 94804-6426
Phone: (510) 422-6311

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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