Individual
SARAH TAMI KONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
136 WILLIAM ST, SPRINGFIELD, MA 01105-2324
(916) 420-6204
Mailing address
356 LONG HILL RD, SOUTH WINDSOR, CT 06074-4217
(916) 420-6204
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-22-57610
CA
103K00000X
Behavior Analyst
Primary
LABA10001550
MA
106E00000X
Assistant Behavior Analyst
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/20/2018
Last updated
06/25/2025
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