Individual
ALISON ELAINE WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
424 PENINSULA AVE, SAN MATEO, CA 94401-1653
(650) 286-4396
Mailing address
424 PENINSULA AVE, SAN MATEO, CA 94401-1653
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1550408
OR
Other
Enumeration date
07/14/2016
Last updated
07/14/2016
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