IndividualActive
Mikie Inthavong
NPI 1013419407 · Behavior Technician · Fresno, CA
Mikie Inthavong is a Behavior Technician provider in Fresno, CA (NPI 1013419407).
Provider details
- NPI number
- 1013419407
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1220 N Fine Ave
Fresno, CA 93727-1916
Phone: (559) 231-1304
Street-level locationGet directions
Mailing address
1220 N Fine Ave
Fresno, CA 93727-1916
Registry dates
- Enumerated
- 2018-03-02
- Last updated
- 2018-03-02
Frequently asked questions
- What is Mikie Inthavong's NPI number?
- Mikie Inthavong's National Provider Identifier (NPI) is 1013419407, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mikie Inthavong's specialty?
- Mikie Inthavong is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Mikie Inthavong located?
- Mikie Inthavong's practice location on file with NPPES is 1220 N Fine Ave, Fresno, CA 93727-1916.
- What is Mikie Inthavong's phone number?
- The practice phone number listed in the NPPES registry for Mikie Inthavong is (559) 231-1304.
- Is Mikie Inthavong's NPI active?
- Yes — Mikie Inthavong's NPI (1013419407) is active in the NPPES registry as of the last update on 2018-03-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.