Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mikie Inthavong

Individual provider Behavior Technician · NPI 1013419407

Mikie Inthavong is a Behavior Technician in Fresno, California. Registered with an NPI since 2018.

In the registry since
2018

Practice location Address checks out

1220 N Fine Ave
Fresno, CA 93727-1916
Phone: (559) 231-1304
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1013419407
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 2, 2018
Last updated in NPPESMarch 2, 2018

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