Individual
MRS. EMILY LYDIA FASCIA WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
301 CONCORD STREET, #335, PAWTUCKET, RI 02860
(800) 679-3609
Mailing address
535 8TH AVE FL 9, NEW YORK, NY 10018-2486
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
LABA00014
RI
Other
Enumeration date
02/18/2021
Last updated
01/26/2023
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