Individual
KIMBERLY O'TOOLE ONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
QASP
Contact information
Practice address
169 MITTIE HADDOCK DR, CAMERON, NC 28326-9379
(800) 991-6070
Mailing address
262 WYNNGATE DR, CAMERON, NC 28326-6394
(804) 503-7621
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
08/22/2016
Last updated
08/22/2016
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