Individual
ALEX WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8350 ARCHIBALD AVE, RANCHO CUCAMONGA, CA 91730-3669
(858) 264-5858
Mailing address
8350 ARCHIBALD AVE, RANCHO CUCAMONGA, CA 91730-3669
(858) 264-5858
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/09/2020
Last updated
07/09/2020
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