Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MIKIE INTHAVONG
ActiveMIKIE INTHAVONG is a Behavior Technician healthcare provider located in FRESNO, California. NPI 1013419407 is currently active in the NPPES registry. Verify at CMS.
Behavior Technician · FRESNO, CA
Registration Details
- NPI Number
- 1013419407
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 2, 2018 (8.4656896907334 yrs)
- Last Updated
- Mar 2, 2018
Practice Information
- Address
-
1220 N FINE AVEFRESNO, CA, 937271916Browse CA providers · Browse ZIP 93727
- Phone
- 5592311304
- Primary Specialty
-
Behavior Technician
106S00000X
Other Behavior Technician Providers in FRESNO, CA
| Name | Credential | NPI |
|---|---|---|
| ANNA MARIA JAMES | — | 1861513897 |
| HEATHER J. CONNELLY | — | 1609016369 |
| GABRIELLE MEZA | — | 1659152460 |
| DANIEL TORRES | — | 1053773663 |
| JESSE WHETTON | — | 1508312679 |
| RUBY FABELA | RAD COUNSELOR | 1891236337 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.