Individual
BENJAMIN KWONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
1922 THE ALAMEDA, SAN JOSE, CA 95126
(510) 679-3545
Mailing address
1285 KOI TER, FREMONT, CA 94536-3208
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
05/18/2018
Last updated
10/21/2019
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