Individual
TRACY MINGLI ONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D., BCBA-D
Contact information
Practice address
445 BELLEVUE AVE STE 201B, OAKLAND, CA 94610-4923
(866) 381-1668
(866) 381-1668
Mailing address
1781 HELANE CT, BENICIA, CA 94510-2659
(866) 381-1668
(866) 381-1668
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC1900X
Counseling Psychologist
PSY24777
CA
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
—
—
Other
Enumeration date
08/22/2009
Last updated
08/25/2016
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