Individual
AUDREY WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12459 LEWIS ST STE 201, GARDEN GROVE, CA 92840-6606
(800) 249-1266
Mailing address
2733 E 12TH ST STE C2, BROOKLYN, NY 11235-4672
(800) 249-1266
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
05/04/2020
Last updated
12/04/2025
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