Provider Demographics
NPI:1902158736
Name:BUI, TRAN NGOC (BCABA)
Entity Type:Individual
Prefix:MS
First Name:TRAN
Middle Name:NGOC
Last Name:BUI
Suffix:
Gender:F
Credentials:BCABA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2127 W ORANGEWOOD AVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92868-1954
Mailing Address - Country:US
Mailing Address - Phone:714-634-8500
Mailing Address - Fax:800-832-2321
Practice Address - Street 1:2127 W ORANGEWOOD AVE
Practice Address - Street 2:SUITE B
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92868-1954
Practice Address - Country:US
Practice Address - Phone:714-634-8500
Practice Address - Fax:800-832-2321
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-03
Last Update Date:2012-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA0103859103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst