Individual
MINA WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1311 PARK ST # 1099, ALAMEDA, CA 94501-4507
(888) 428-3223
Mailing address
4221 WILSHIRE BLVD STE 300A, LOS ANGELES, CA 90010-3537
(888) 428-3223
(323) 866-1881
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
RBT-24-398508
CA
106S00000X
Behavior Technician
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Other
Enumeration date
08/07/2024
Last updated
07/10/2025
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