Organization
CONSCIOUS KIDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH WONG BCBA (BCBA)
(626) 200-9754
Entity
Organization
Contact information
Practice address
16836 MARINABAY DR, HUNTINGTON BEACH, CA 92649-2914
(626) 200-2754
Mailing address
3106 MACE AVE APT D, COSTA MESA, CA 92626-2548
(626) 200-9754
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/01/2021
Last updated
10/01/2021
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