Individual
CARMEN FONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12108 SE 31ST ST APT F101, BELLEVUE, WA 98005-5108
(425) 283-3788
Mailing address
12108 SE 31ST ST APT F101, BELLEVUE, WA 98005-5108
(425) 283-3788
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
61032726
WA
Other
Enumeration date
12/28/2021
Last updated
12/28/2021
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