Individual ProviderDaniel Dat NguyenBehavior TechnicianBehavioral Health & Social Service ProvidersPractice Address3160 Crow Canyon Pl Ste 205, San Ramon, CA 94583-1338(818) 241-6780PECOS EnrollmentBased on the most recent information from CMS, provider Daniel Dat Nguyen does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 10:34 AM.Profile DetailsProvider ID1366923674Provider TypeIndividualFull NameNguyen, Daniel DatGenderMaleSole ProprietorNoEnumeration Date8/24/2018Last Updated8/24/2018Contact InformationPractice LocationPractice Address3160 Crow Canyon Pl Ste 205, San Ramon, CA 94583-1338Phone(818) 241-6780Fax(818) 241-6853Mailing LocationMailing Address206 N Jackson St, Glendale, CA 91206-4330Phone(818) 241-6780Fax(818) 241-6853Provider TaxonomiesCodeDescriptionLicenseCode106S00000XPrimaryDescriptionBehavior TechnicianBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer