Organization
CHUCHU
Active
Other names
Promise Autism Center
Organization subpart
No
Provider details
NPI number
Authorized official
WONJI CHU (OWNER)
(469) 565-2454
Entity
Organization
Contact information
Practice address
1636 W IRVING BLVD STE 100, IRVING, TX 75061-7255
(469) 565-2454
Mailing address
1636 W IRVING BLVD STE 100, IRVING, TX 75061-7255
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
01/10/2024
Last updated
02/28/2024
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