Individual
REKYA WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2301 W BRADLEY AVE, CHAMPAIGN, IL 61821-1849
(574) 387-4313
Mailing address
215 RED COACH DR, MISHAWAKA, IN 46545-8307
(574) 387-4313
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
RBT-23-316451
IL
Other
Enumeration date
12/14/2023
Last updated
12/14/2023
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