Individual
CAROLINA CHONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
11512 LAKE MEAD AVE, SUITE 601, JACKSONVILLE, FL 32256-9680
(904) 538-0713
(904) 538-0714
Mailing address
10175 FORTUNE PKWY, SUITE 903, JACKSONVILLE, FL 32256-6746
(904) 538-0713
(904) 538-0714
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-14-17078
—
Other
Enumeration date
12/30/2014
Last updated
12/30/2014
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