Individual
DR. CONNIE LYNN WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D., BCBA-D
Contact information
Practice address
800 FERRARI STE 100, ONTARIO, CA 91764-5031
(909) 484-2848
(909) 204-4149
Mailing address
800 FERRARI STE 100, ONTARIO, CA 91764-5031
(909) 484-2848
(909) 204-4149
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-12-10019
CA
Other
Enumeration date
03/26/2012
Last updated
10/04/2019
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