Individual
ALICE WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
773 BANDIT TRL, KELLER, TX 76248-0111
(817) 984-8655
Mailing address
4813 PORQUE CT, FORT WORTH, TX 76244-2638
(734) 552-8053
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/02/2025
Last updated
05/02/2025
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