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Organization
WISE K
Active
Organization
WISE K
Active
Other names
Promise Autism Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. WONJI CHU (ADMINISTRATOR)
(469) 688-0285
Entity
Organization
Contact information
Practice address
1636 W IRVING BLVD STE 100, IRVING, TX 75061-7255
(469) 575-9294
(469) 895-2200
Mailing address
1636 W IRVING BLVD STE 100, IRVING, TX 75061-7255
(469) 565-2454
(469) 747-1131
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/29/2021
Last updated
09/04/2023
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