Individual
ELIZABETH MONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED., BCBA, LBA
Contact information
Practice address
6220 SOUTHWEST BLVD, BENBROOK, TX 76109-6906
(817) 406-1470
Mailing address
PO BOX 740780, ATLANTA, GA 30374-0780
(855) 223-7123
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
7242
TX
Other
Enumeration date
08/20/2024
Last updated
05/04/2026
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