Individual
ALFRED WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1001 SNEATH LN STE 200, SAN BRUNO, CA 94066-2349
(650) 243-9849
Mailing address
845 CRESTVIEW DR, MILLBRAE, CA 94030-1508
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-23-65037
CA
Other
Enumeration date
06/20/2019
Last updated
04/25/2023
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