Individual
AMY FONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
215 LEXINGTON ST, WOBURN, MA 01801-5939
(949) 350-0148
Mailing address
215 LEXINGTON ST, WOBURN, MA 01801-5939
(949) 350-0148
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
LABA4155
MA
Other
Enumeration date
04/29/2026
Last updated
04/29/2026
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