IndividualActive
Mina Thammavongsa
NPI 1639932494 · Behavior Technician · Port Huron, MI
Mina Thammavongsa is a Behavior Technician provider in Port Huron, MI (NPI 1639932494).
Provider details
- NPI number
- 1639932494
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(50/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
1014 Holland Ave
Port Huron, MI 48060-1513
Phone: (810) 937-5012
Street-level locationGet directions
Mailing address
1014 Holland Ave
Port Huron, MI 48060-1513
Registry dates
- Enumerated
- 2024-02-05
- Last updated
- 2024-02-05
- Certified
- 2024-02-04
Frequently asked questions
- What is Mina Thammavongsa's NPI number?
- Mina Thammavongsa's National Provider Identifier (NPI) is 1639932494, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mina Thammavongsa's specialty?
- Mina Thammavongsa is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Mina Thammavongsa located?
- Mina Thammavongsa's practice location on file with NPPES is 1014 Holland Ave, Port Huron, MI 48060-1513.
- What is Mina Thammavongsa's phone number?
- The practice phone number listed in the NPPES registry for Mina Thammavongsa is (810) 937-5012.
- Is Mina Thammavongsa's NPI active?
- Yes — Mina Thammavongsa's NPI (1639932494) is active in the NPPES registry as of the last update on 2024-02-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.