Organization
WORKS OF WONDER
Active
Other names
Beth Long, PhD, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLARA ELIZABETH LONG LPC, BCBA (EXECUTIVE DIRECTOR)
(334) 356-4900
Entity
Organization
Contact information
Practice address
1320 CARMICHAEL WAY, MONTGOMERY, AL 36106-3691
(334) 356-4900
(334) 239-7759
Mailing address
1320 CARMICHAEL WAY, MONTGOMERY, AL 36106-3691
(334) 356-4900
(334) 239-7759
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1205333283
BLUE CROSS/BLUE SHIELD
AL
05
—
1205333283
—
AL
Enumeration date
08/28/2019
Last updated
08/23/2022
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