Individual
BETTY TIA -CONGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, BCBA
Contact information
Practice address
12399 LEWIS ST, STE 202, GARDEN GROVE, CA 92840-4682
(714) 750-0575
(714) 750-0160
Mailing address
5850 GRANITE PKWY STE 600, PLANO, TX 75024-6753
(909) 230-0749
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-11-9058
CA
Other
Enumeration date
03/15/2012
Last updated
08/18/2022
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