Provider Demographics
NPI:1144715160
Name:THAI, AMY NGO
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:NGO
Last Name:THAI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5031 12TH AVE NE UNIT B
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98105-4306
Mailing Address - Country:US
Mailing Address - Phone:425-299-1012
Mailing Address - Fax:
Practice Address - Street 1:5031 12TH AVE NE UNIT B
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98105-4306
Practice Address - Country:US
Practice Address - Phone:425-299-1012
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-22
Last Update Date:2018-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician