Individual
JENNA BEATRICE WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
91 MAIN ST, WARREN, RI 02885-4420
(401) 331-5651
Mailing address
91 MAIN ST STE 115, WARREN, RI 02885-4437
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
LABA10001140
MA
103K00000X
Behavior Analyst
LBA00530
RI
Other
Enumeration date
11/21/2018
Last updated
05/14/2026
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