Individual
AVERY WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
1390 MILLER ST, HONOLULU, HI 96813-2493
(808) 777-9773
Mailing address
1390 MILLER ST, HONOLULU, HI 96813-2493
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
HI
Other
Enumeration date
07/28/2025
Last updated
07/28/2025
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