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Organization
WORKS OF WONDER
Active
Organization
WORKS OF WONDER
Active
Other names
Beth Long, PhD, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLARA ELIZABETH LONG LPC, BCBA (EXECUTIVE DIRECTOR)
(334) 356-4900
Entity
Organization
Contact information
Practice address
1320 CARMICHAEL WAY, MONTGOMERY, AL 36106-3691
(334) 356-4900
(334) 239-7759
Mailing address
1320 CARMICHAEL WAY, MONTGOMERY, AL 36106-3691
(334) 356-4900
(334) 239-7759
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1205333283
BLUE CROSS/BLUE SHIELD
AL
05
—
1205333283
—
AL
Enumeration date
08/28/2019
Last updated
08/23/2022
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