Individual
KELLY CHONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 STANTON L YOUNG BLVD, OKLAHOMA CITY, OK 73104-5018
(405) 271-2316
Mailing address
903 W SHERIDAN AVE APT 310, OKLAHOMA CITY, OK 73106-7879
(918) 853-2035
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-229642
TX
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
OK
Other
Enumeration date
08/18/2022
Last updated
03/02/2026
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