Individual
BETTY TIA -CONGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, BCBA
Contact information
Practice address
201 W 4TH ST STE 102, CLAREMONT, CA 91711-4707
(213) 507-1597
Mailing address
2209 E BASELINE RD STE 300-351, CLAREMONT, CA 91711-7901
(213) 507-1597
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-11-9058
CA
Other
Enumeration date
03/15/2012
Last updated
05/25/2026
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