Provider Demographics
NPI:1972094548
Name:DINH, BELLE BA
Entity type:Individual
Prefix:
First Name:BELLE
Middle Name:BA
Last Name:DINH
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 1:150 SUTTER ST UNIT 120
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94104-9004
Mailing Address - Country:US
Mailing Address - Phone:888-657-4456
Mailing Address - Fax:415-989-5001
Practice Address - Street 1:2110 N 14TH ST
Practice Address - Street 2:
Practice Address - City:BOISE
Practice Address - State:ID
Practice Address - Zip Code:83702
Practice Address - Country:US
Practice Address - Phone:888-657-4456
Practice Address - Fax:415-989-5001
Is Sole Proprietor?:No
Enumeration Date:2018-05-19
Last Update Date:2019-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVRBT-18-65748106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician