Individual
CRYSTAL WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M. ED
Contact information
Practice address
225 E CITY AVE STE 15, BALA CYNWYD, PA 19004-1724
(856) 346-0005
Mailing address
2115 N 63RD ST APT B3, PHILADELPHIA, PA 19151-2657
(714) 376-2550
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH005474
PA
Other
Enumeration date
09/01/2021
Last updated
09/01/2021
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