Connie Lynn Wong PH.D., BCBA-D

NPI 1861768723 - Behavioral Analyst - 103K00000X

NPI Details
NPI 1861768723
Gender Female
Enumeration Date 03/26/2012
Last Updated 03/26/2012
Entity Type Individual
Active Over 5 years ago
Practice Location
2234 E 4TH ST
ONTARIO CA, 91764-4517, US
Phone (909) 204-4142
Fax (909) 545-8489
Business Location
2234 E 4TH ST
ONTARIO CA, 91764-4517, US
Phone (909) 204-4142
Fax (909) 545-8489
Toxanomy
Taxonomy Code 103K00000X
License State California
License Number 1-12-10019
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According to our database, Dr. Connie Lynn Wong PH.D., BCBA-D NPI is 1861768723, taxonomy code is 103K00000X and license number is 1-12-10019, license state is located at California. Connie Lynn Wong PH.D., BCBA-D physically located at 2234 E 4th St, Ontario CA, 91764-4517. NPI Number Connie Lynn Wong PH.D., BCBA-D has the Individual type.

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1861768723 NPI number is provided on an as is basis without warranty of any kind. 1861768723 is maintained by the National Plan & Provider Enumeration System. The contents of Connie Lynn Wong PH.D., BCBA-D are for informational purposes only.