Individual
AI PENG WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1445 NW MALL ST STE 2, ISSAQUAH, WA 98027-7900
(425) 651-8117
Mailing address
7422 NEWCASTLE GOLF CLUB RD UNIT D, NEWCASTLE, WA 98059-9145
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/06/2025
Last updated
11/06/2025
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